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General NPI Number Information
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NPI Number | 1033630629
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Entity Type | Individual
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Provider Name | ZAYLI TERESA JIMERANEZ
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Gender | Female
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Dates
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Enumeration Date | 07/04/2017
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Last Update Date | 04/26/2023
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Provider Practice Location Address
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Address Line | 14411 COMMERCE WAY
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City | MIAMI LAKES
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State | FL
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Zip | 33016-1596
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Country | US
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Telephone | 305-625-8844
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Fax |
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Provider Business Mailing Address
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Address Line | 19339 NW 56TH PL
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City | MIAMI GARDENS
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State | FL
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Zip | 33055-1620
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Country | US
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Telephone | 305-776-6857
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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 | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number | OTA15392
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number | RBT-23-268697
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License Number State | FL
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