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General NPI Number Information
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NPI Number | 1255763355
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Entity Type | Individual
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Provider Name | CARLY CARALUZZI OTR/L
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Gender | Female
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Dates
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Enumeration Date | 07/31/2013
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Last Update Date | 11/30/2020
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Provider Practice Location Address
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Address Line | 3602 W SAN JUAN ST
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City | TAMPA
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State | FL
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Zip | 33629-6922
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Country | US
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Telephone | 973-477-4919
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Fax |
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Provider Business Mailing Address
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Address Line | 3602 W SAN JUAN ST
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City | TAMPA
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State | FL
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Zip | 33629-6922
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Country | US
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Telephone |
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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 | OC012587
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OT21375
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License Number State | FL
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