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NPI 1992175384

NPI 1992175384 : ALLISON LINDORFF : NEW YORK, NY

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General NPI Number Information
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    NPI Number           |    1992175384
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    Entity Type          |    Individual 
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    Provider Name        |    ALLISON LINDORFF
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    09/29/2015
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    Last Update Date     |    09/29/2015
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Provider Practice Location Address
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    Address Line         |    164 W 79TH ST 
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    City                 |    NEW YORK
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    State                |    NY
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    Zip                  |    10024-6439
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    Country              |    US
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    Telephone            |    212-712-2014
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    21 PLEASANT PLACE 
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    City                 |    KEARNY
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    State                |    NJ
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    Zip                  |    07032-1830
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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    |    
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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       |    019729
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    License Number State |    NY
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Taxonomy #2
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    Taxonomy Code        |    225X00000X
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    Taxonomy Name        |    Occupational Therapist
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    License Number       |    46TR00639800
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    License Number State |    NJ
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