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General NPI Number Information
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NPI Number | 1124290127
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Entity Type | Individual
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Provider Name | MARISA C VELEZ-SPINA OTR
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Gender | Female
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Dates
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Enumeration Date | 03/31/2008
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Last Update Date | 03/31/2008
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Provider Practice Location Address
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Address Line | 638 GEORGE WILSON RD
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City | BOONE
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State | NC
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Zip | 28607-8613
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Country | US
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Telephone | 828-265-0309
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Fax |
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Provider Business Mailing Address
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Address Line | 703 WATER HICKORY DR
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City | CARY
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State | NC
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Zip | 27519-7425
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Country | US
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Telephone | 919-460-7099
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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 | 2710
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License Number State | NC
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