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NPI 1083623896

NPI 1083623896 : STEPHANIE C SPINELLI AND ASSOCIATES : ORLANDO, FL

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General NPI Number Information
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    NPI Number           |    1083623896
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    Entity Type          |    Organization 
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    Legal Business Name  |    STEPHANIE C SPINELLI AND ASSOCIATES 
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Dates
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    Enumeration Date     |    08/08/2006
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    Last Update Date     |    02/10/2023
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Provider Practice Location Address
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    Address Line         |    427 N MAGNOLIA AVE STE 100 
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    City                 |    ORLANDO
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    State                |    FL
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    Zip                  |    32801-1524
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    Country              |    US
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    Telephone            |    407-896-1152
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    Fax                  |    407-872-3014
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Provider Business Mailing Address
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    Address Line         |    22 LAKE BEAUTY DR STE 304 
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    City                 |    ORLANDO
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    State                |    FL
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    Zip                  |    32806-2040
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    Country              |    US
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    Telephone            |    407-896-1152
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    Fax                  |    407-872-3014
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     STEPHANIE CASERTA SPINELLI 
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    Credential           |    OTR/L
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    Telephone            |    407-896-1152
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    2251P0200X
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    Taxonomy Name        |    Pediatric Physical Therapist
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    235Z00000X
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    Taxonomy Name        |    Speech-Language Pathologist
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    225XP0200X
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    Taxonomy Name        |    Pediatric Occupational Therapist
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    License Number       |    
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    License Number State |    
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