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General NPI Number Information
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NPI Number | 1861911778
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Entity Type | Organization
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Legal Business Name | OGUNLEYE REHABILITATION SERVICES INC
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Dates
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Enumeration Date | 09/12/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 46 LASALLE DRIVE
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City | NEW ROCHELLE
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State | NY
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Zip | 10801-4643
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Country | US
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Telephone | 914-837-4196
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Fax | 914-740-5633
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Provider Business Mailing Address
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Address Line | 46 LASALLE DR
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City | NEW ROCHELLE
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State | NY
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Zip | 10801-4643
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Country | US
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Telephone | 914-837-4196
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Fax | 914-740-5633
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. PHILIP OGUNLEYE
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Credential | PHD, OTR/L
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Telephone | 914-837-4196
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | 006982-1
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License Number State | NY
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