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General NPI Number Information
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NPI Number | 1154627057
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Entity Type | Individual
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Provider Name | RAYYA IBRAHIM-MUZAFFARR OTR/L
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Gender | Female
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Dates
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Enumeration Date | 02/10/2011
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Last Update Date | 02/10/2011
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Provider Practice Location Address
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Address Line | 15924 SW 92ND AVE
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City | MIAMI
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State | FL
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Zip | 33157-1842
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Country | US
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Telephone | 305-971-1230
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Fax | 305-971-3095
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Provider Business Mailing Address
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Address Line | 13417 SW 144TH TER
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City | MIAMI
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State | FL
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Zip | 33186-7671
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Country | US
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Telephone | 305-278-2113
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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 | OT 14383
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License Number State | FL
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