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General NPI Number Information
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NPI Number | 1942678230
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Entity Type | Organization
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Legal Business Name | OT BY ERICA LLC
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Dates
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Enumeration Date | 09/03/2015
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Last Update Date | 09/03/2015
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Provider Practice Location Address
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Address Line | 655 W 254TH ST
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City | BRONX
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State | NY
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Zip | 10471-1247
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Country | US
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Telephone | 718-548-1717
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Fax |
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Provider Business Mailing Address
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Address Line | 560 SADDLE RIDGE RD
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City | WOODMERE
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State | NY
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Zip | 11598-1552
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OCCUPATIONAL THERAPIST
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Name | MRS. ERICA MEZEI
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Credential | OTR/L
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Telephone | 516-220-9095
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251300000X
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Taxonomy Name | Local Education Agency (LEA)
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License Number | 019774-1
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License Number State | NY
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