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General NPI Number Information
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NPI Number | 1952292195
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Entity Type | Organization
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Legal Business Name | UPLIFT OT PC
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Dates
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Enumeration Date | 07/15/2025
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Last Update Date | 07/15/2025
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Provider Practice Location Address
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Address Line | 16 CUMBERLAND RD
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City | JERICHO
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State | NY
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Zip | 11753-2607
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Country | US
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Telephone | 516-426-4046
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Fax |
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Provider Business Mailing Address
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Address Line | 16 CUMBERLAND RD
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City | JERICHO
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State | NY
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Zip | 11753-2607
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Country | US
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Telephone | 516-426-4046
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Fax |
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Authorized Official
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Title or Position | OT
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Name | SAFIA RAZZAQ
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Credential | OT
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Telephone | 516-426-4046
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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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