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NPI 1912980905

NPI 1912980905 : SARA J BURMAN-NEWBY OT CHT : AIRMONT, NY

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General NPI Number Information
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    NPI Number           |    1912980905
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    Entity Type          |    Individual 
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    Provider Name        |    SARA J BURMAN-NEWBY OT CHT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    11/22/2005
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    Last Update Date     |    12/03/2021
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Provider Practice Location Address
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    Address Line         |    327 ROUTE 59 
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    City                 |    AIRMONT
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    State                |    NY
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    Zip                  |    10952-3420
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    Country              |    US
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    Telephone            |    845-356-2900
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    Fax                  |    845-356-7797
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Provider Business Mailing Address
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    Address Line         |    507 AIRPORT EXECUTIVE PARK 
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    City                 |    NANUET
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    State                |    NY
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    Zip                  |    10954-5238
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    Country              |    US
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    Telephone            |    845-262-5313
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    Fax                  |    845-426-6126
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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        |    2251H1200X
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    Taxonomy Name        |    Hand Physical Therapist
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    License Number       |    46TR00172800
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    License Number State |    NJ
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Taxonomy #2
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    Taxonomy Code        |    225X00000X
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    Taxonomy Name        |    Occupational Therapist
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    License Number       |    10941687-4201
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    License Number State |    UT
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