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NPI 1043340755

NPI 1043340755 : CYNETA HILL O.T. : TALLAHASSEE, FL

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General NPI Number Information
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    NPI Number           |    1043340755
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    Entity Type          |    Individual 
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    Provider Name        |    CYNETA HILL O.T.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    03/06/2007
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    3334 CAPITAL MEDICAL BLVD SUITE 300
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    City                 |    TALLAHASSEE
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    State                |    FL
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    Zip                  |    32308-8405
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    Country              |    US
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    Telephone            |    850-219-1523
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    Fax                  |    850-201-3369
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Provider Business Mailing Address
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    Address Line         |    925 E MAGNOLIA DR APT. C1
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    City                 |    TALLAHASSEE
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    State                |    FL
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    Zip                  |    32301-6686
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    Country              |    US
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    Telephone            |    850-219-1923
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    Fax                  |    850-201-3369
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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       |    OT12047
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    License Number State |    FL
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