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General NPI Number Information
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NPI Number | 1972300010
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Entity Type | Organization
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Legal Business Name | LITTLE BEAN PEDIATRIC OT
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Dates
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Enumeration Date | 02/26/2025
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Last Update Date | 02/26/2025
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Provider Practice Location Address
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Address Line | 15 KAREN ST
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City | SPOTSWOOD
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State | NJ
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Zip | 08884-1228
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Country | US
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Telephone | 732-995-5358
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Fax |
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Provider Business Mailing Address
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Address Line | 15 KAREN ST
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City | SPOTSWOOD
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State | NJ
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Zip | 08884-1228
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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 | KRISTA CHAN
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Credential | OTR/L
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Telephone | 732-995-5358
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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