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General NPI Number Information
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NPI Number | 1902341829
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Entity Type | Organization
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Legal Business Name | DHB OCCUAPTIONAL THERAPY
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Dates
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Enumeration Date | 01/02/2017
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Last Update Date | 01/02/2017
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Provider Practice Location Address
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Address Line | 1366 E 40TH ST
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City | BROOKLYN
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State | NY
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Zip | 11234-2918
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Country | US
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Telephone | 718-496-0957
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Fax |
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Provider Business Mailing Address
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Address Line | 1366 E 40TH ST
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City | BROOKLYN
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State | NY
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Zip | 11234-2918
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Country | US
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Telephone | 718-496-0957
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Fax |
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Authorized Official
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Title or Position | OTR
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Name | MS. DONNA MARIE HYACINTH
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Credential | OTR
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Telephone | 718-496-0957
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 006995
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License Number State | NY
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