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General NPI Number Information
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NPI Number | 1194026518
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Entity Type | Individual
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Provider Name | PAMELA MARIE MORALES OTR/L
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Gender | Female
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Dates
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Enumeration Date | 11/16/2010
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Last Update Date | 11/16/2010
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Provider Practice Location Address
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Address Line | 452 E SILVERADO RANCH BLVD # 455
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City | LAS VEGAS
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State | NV
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Zip | 89183-6290
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Country | US
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Telephone | 702-279-3607
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Fax |
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Provider Business Mailing Address
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Address Line | 5613 W BARTLETT AVE
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City | LAS VEGAS
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State | NV
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Zip | 89108-3218
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Country | US
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Telephone | 702-646-5826
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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 | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | 10-0066
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License Number State | NV
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