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General NPI Number Information
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NPI Number | 1891053302
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Entity Type | Individual
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Provider Name | REGINA GAIL KLEIN OTR/L
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Gender | Female
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Dates
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Enumeration Date | 05/03/2012
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Last Update Date | 05/03/2012
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Provider Practice Location Address
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Address Line | 34 W 118TH ST
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City | NEW YORK
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State | NY
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Zip | 10026-1937
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Country | US
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Telephone | 212-410-5202
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Fax |
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Provider Business Mailing Address
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Address Line | 200 RECTOR PL APT 9D
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City | NEW YORK
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State | NY
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Zip | 10280-1162
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Country | US
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Telephone | 917-701-2746
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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 | 017229
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License Number State | NY
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