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General NPI Number Information
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NPI Number | 1023605698
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Entity Type | Individual
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Provider Name | LEISY MORALES OTR/L
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Gender | Female
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Dates
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Enumeration Date | 12/29/2020
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Last Update Date | 12/29/2020
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Provider Practice Location Address
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Address Line | 8333 W OKEECHOBEE RD
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City | HIALEAH
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State | FL
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Zip | 33016-2109
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Country | US
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Telephone | 305-556-9900
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Fax |
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Provider Business Mailing Address
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Address Line | 20319 NW 52ND AVE
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City | MIAMI GARDENS
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State | FL
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Zip | 33055-6613
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Country | US
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Telephone | 786-600-9628
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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 | OT21351
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License Number State | FL
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