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General NPI Number Information
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NPI Number | 1013635580
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Entity Type | Individual
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Provider Name | MIRIAM MWARIA OTR/L
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Gender | Female
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Dates
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Enumeration Date | 08/19/2022
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Last Update Date | 04/10/2025
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Provider Practice Location Address
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Address Line | 11626 US HIGHWAY 90
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City | DAPHNE
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State | AL
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Zip | 36526-8913
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Country | US
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Telephone | 877-407-3422
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Fax | 877-407-4329
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Provider Business Mailing Address
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Address Line | 2852 REGAL CIR APT J
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City | HOOVER
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State | AL
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Zip | 35216-4651
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Country | US
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Telephone | 205-253-7347
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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 | 3482
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License Number State | AL
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