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General NPI Number Information
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NPI Number | 1144744079
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Entity Type | Individual
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Provider Name | LESLIE ANN GALARZA OTL
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Gender | Female
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Dates
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Enumeration Date | 08/02/2017
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Last Update Date | 06/16/2018
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Provider Practice Location Address
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Address Line | 1700 CALLE FEDERICO MONTILLA S APT 203 CONDOMINIO TORRES DEL PARQUE
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City | BAYAMON
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State | PR
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Zip | 00956-3066
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Country | US
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Telephone | 787-533-8007
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 7
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City | GUANICA
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State | PR
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Zip | 00653-0007
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Country | US
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Telephone | 787-533-8007
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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 | 699
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License Number State | PR
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