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General NPI Number Information
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NPI Number | 1992005110
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Entity Type | Organization
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Legal Business Name | OCCUPATIONAL THERAPY ON CALL
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Dates
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Enumeration Date | 10/22/2010
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Last Update Date | 10/22/2010
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Provider Practice Location Address
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Address Line | 250 W 57TH ST SUITE 814
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City | NEW YORK
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State | NY
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Zip | 10107-0001
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Country | US
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Telephone | 917-612-0426
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Fax |
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Provider Business Mailing Address
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Address Line | 2650 OCEAN PKWY APARTMENT 6C
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City | BROOKLYN
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State | NY
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Zip | 11235-7749
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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 | PRESIDENT
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Name | LAURIE LASHER
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Credential |
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Telephone | 917-612-0426
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number |
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License Number State |
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