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NPI 1982998498

NPI 1982998498 : RACHEL FISHMAN OTR/L : NEW YORK, NY

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General NPI Number Information
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    NPI Number           |    1982998498
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    Entity Type          |    Individual 
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    Provider Name        |    RACHEL FISHMAN OTR/L
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/01/2011
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    Last Update Date     |    06/01/2011
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Provider Practice Location Address
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    Address Line         |    250 5TH AVE RM 201 
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    City                 |    NEW YORK
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    State                |    NY
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    Zip                  |    10001-6405
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    Country              |    US
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    Telephone            |    212-685-3266
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    Fax                  |    212-685-3224
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Provider Business Mailing Address
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    Address Line         |    711 W END AVE APT 3ES
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    City                 |    NEW YORK
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    State                |    NY
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    Zip                  |    10025-6821
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    Country              |    US
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    Telephone            |    301-367-3332
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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       |    015861-1
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    License Number State |    NY
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