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General NPI Number Information
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NPI Number | 1952076747
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Entity Type | Individual
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Provider Name | JENNY LAI
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Gender | Female
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Dates
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Enumeration Date | 08/12/2021
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Last Update Date | 08/12/2021
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Provider Practice Location Address
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Address Line | 240 W 113TH ST
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City | NEW YORK
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State | NY
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Zip | 10026-3306
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Country | US
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Telephone | 212-866-6137
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Fax |
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Provider Business Mailing Address
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Address Line | 656 46TH ST APT 3F
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City | BROOKLYN
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State | NY
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Zip | 11220-1430
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Country | US
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Telephone | 646-912-4917
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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 |
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License Number State |
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