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General NPI Number Information
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NPI Number | 1902026925
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Entity Type | Individual
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Provider Name | DONNA O'ROURKE OTR
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Gender | Female
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Dates
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Enumeration Date | 05/01/2007
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Last Update Date | 05/14/2010
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Provider Practice Location Address
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Address Line | 2920 HEMPSTEAD TPKE
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City | LEVITTOWN
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State | NY
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Zip | 11756-1402
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Country | US
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Telephone | 516-735-7778
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Fax | 516-735-4159
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Provider Business Mailing Address
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Address Line | 56 LODGE AVE
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City | HUNTINGTON STATION
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State | NY
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Zip | 11746-3436
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Country | US
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Telephone | 516-735-7778
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Fax | 516-735-4159
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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 | 004946-1
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License Number State | NY
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