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General NPI Number Information
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NPI Number | 1114382702
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Entity Type | Organization
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Legal Business Name | ANISLEY ALEJO TORRES
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Dates
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Enumeration Date | 12/23/2015
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Last Update Date | 12/23/2015
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Provider Practice Location Address
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Address Line | 14959 SW 23RD LN
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City | MIAMI
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State | FL
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Zip | 33185-5881
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Country | US
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Telephone | 786-370-3008
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Fax |
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Provider Business Mailing Address
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Address Line | 14959 SW 23RD LN
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City | MIAMI
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State | FL
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Zip | 33185-5881
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Country | US
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Telephone | 786-370-3008
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Fax |
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Authorized Official
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Title or Position | OCCUPATIONAL THERAPIST
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Name | ANISLEY ALEJO TORRES
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Credential | OTR
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Telephone | 786-370-3008
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | OT17433
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License Number State | FL
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