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General NPI Number Information
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NPI Number | 1962273573
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Entity Type | Organization
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Legal Business Name | SWB PT,DC,OT PLLC
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Dates
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Enumeration Date | 01/11/2024
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Last Update Date | 01/11/2024
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Provider Practice Location Address
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Address Line | 286 MADISON AVE STE 1601
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City | NEW YORK
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State | NY
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Zip | 10017-6374
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Country | US
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Telephone | 917-435-9452
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Fax | 646-304-3203
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Provider Business Mailing Address
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Address Line | 286 MADISON AVE STE 1601
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City | NEW YORK
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State | NY
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Zip | 10017-6374
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Country | US
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Telephone | 917-435-9452
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Fax |
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Authorized Official
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Title or Position | THERAPIST
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Name | MISS CAITHA G BARR
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Credential | OT
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Telephone | 917-435-9452
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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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