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General NPI Number Information
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NPI Number | 1043208747
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Entity Type | Individual
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Provider Name | AMY BAEZ OTR/L
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Gender | Female
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Dates
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Enumeration Date | 10/07/2005
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Last Update Date | 04/30/2020
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Provider Practice Location Address
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Address Line | 2050 NE 140TH ST APT 19
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City | NORTH MIAMI BEACH
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State | FL
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Zip | 33181-1653
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Country | US
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Telephone | 786-529-8847
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Fax | 305-949-5480
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Provider Business Mailing Address
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Address Line | 14311 BISCAYNE BLVD # 803
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City | NORTH MIAMI
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State | FL
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Zip | 33261-3479
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Country | US
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Telephone | 786-529-8847
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Fax | 305-949-5480
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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 | 9623
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License Number State | FL
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