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General NPI Number Information
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NPI Number | 1134736200
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Entity Type | Individual
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Provider Name | NICOLE ALEXANDRA NERET OTR/L
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Gender | Female
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Dates
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Enumeration Date | 09/23/2020
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Last Update Date | 10/13/2020
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Provider Practice Location Address
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Address Line | 1140 W 50TH ST
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City | HIALEAH
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State | FL
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Zip | 33012
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Country | US
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Telephone | 786-615-8426
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Fax | 305-822-0835
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Provider Business Mailing Address
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Address Line | 301 ALTARA AVE APT 622
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City | CORAL GABLES
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State | FL
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Zip | 33146-1469
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Country | US
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Telephone | 305-431-5820
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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 | 21217
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License Number State | FL
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