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General NPI Number Information
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NPI Number | 1073076618
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Entity Type | Individual
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Provider Name | JENILEE MARIE DUARTE OTR/L
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Gender | Female
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Dates
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Enumeration Date | 04/10/2019
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Last Update Date | 03/27/2024
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Provider Practice Location Address
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Address Line | 1501 NW 29TH ST
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City | MIAMI
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State | FL
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Zip | 33142-6623
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Country | US
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Telephone | 305-599-3021
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Fax |
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Provider Business Mailing Address
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Address Line | 180 NE 29TH ST APT 905
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City | MIAMI
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State | FL
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Zip | 33137-5236
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Country | US
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Telephone | 786-202-8366
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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 | OT19994
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License Number State | FL
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