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General NPI Number Information
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NPI Number | 1861754384
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Entity Type | Individual
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Provider Name | KATHLEEN CONFEITEIRO OTR/L
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Gender | Female
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Dates
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Enumeration Date | 06/11/2012
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Last Update Date | 06/11/2012
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Provider Practice Location Address
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Address Line | 4 BERKSHIRE BLVD
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City | BETHEL
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State | CT
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Zip | 06801-1001
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Country | US
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Telephone | 203-775-8256
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Fax |
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Provider Business Mailing Address
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Address Line | 119 HOLLS TER N
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City | YONKERS
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State | NY
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Zip | 10701-1706
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Country | US
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Telephone | 914-457-7553
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 017130
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License Number State | NY
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