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General NPI Number Information
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NPI Number | 1225196470
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Entity Type | Organization
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Legal Business Name | S & L MEDICAL CONSULTANTS, LLC
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Dates
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Enumeration Date | 12/04/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 14863 HAWKSMOOR RUN CIR
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City | ORLANDO
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State | FL
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Zip | 32828-7510
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Country | US
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Telephone | 407-451-6234
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Fax |
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Provider Business Mailing Address
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Address Line | 14863 HAWKSMOOR RUN CIR
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City | ORLANDO
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State | FL
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Zip | 32828-7510
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Country | US
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Telephone | 407-451-6234
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Fax |
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | LISA D MORTENSON
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Credential | OTR
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Telephone | 407-451-6234
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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 8412
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License Number State | FL
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