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General NPI Number Information
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NPI Number | 1962205187
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Entity Type | Organization
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Legal Business Name | OPEN DOOR PT OT, PLLC
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Dates
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Enumeration Date | 03/31/2025
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Last Update Date | 03/31/2025
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Provider Practice Location Address
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Address Line | 10322 ROCKAWAY BEACH BLVD
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City | ROCKAWAY PARK
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State | NY
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Zip | 11694-2739
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Country | US
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Telephone | 718-318-8550
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Fax |
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Provider Business Mailing Address
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Address Line | 10322 ROCKAWAY BEACH BLVD
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City | ROCKAWAY PARK
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State | NY
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Zip | 11694-2739
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Country | US
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Telephone | 718-318-8550
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Fax |
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | ARON CHARACH
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Credential | DPT
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Telephone | 646-275-6111
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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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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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