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General NPI Number Information
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NPI Number | 1023389483
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Entity Type | Individual
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Provider Name | EVA MICHELLE PARKER OTR
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Gender | Female
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Dates
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Enumeration Date | 01/17/2012
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Last Update Date | 01/17/2012
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Provider Practice Location Address
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Address Line | 4200 WASHINGTON ST
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City | HOLLYWOOD
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State | FL
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Zip | 33021-7353
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Country | US
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Telephone | 954-266-3042
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Fax | 954-266-3043
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Provider Business Mailing Address
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Address Line | 605 SW 15TH ST
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City | FORT LAUDERDALE
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State | FL
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Zip | 33315-1601
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Country | US
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Telephone | 954-593-7499
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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 | 4033
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License Number State | FL
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