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General NPI Number Information
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NPI Number | 1265612485
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Entity Type | Organization
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Legal Business Name | WALLIS A. CHEFITZ
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Dates
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Enumeration Date | 11/05/2007
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Last Update Date | 11/05/2007
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Provider Practice Location Address
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Address Line | 9315 SW 61 COURT
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City | PINECREST
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State | FL
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Zip | 33156-1951
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Country | US
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Telephone | 305-665-8586
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Fax | 305-665-8586
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Provider Business Mailing Address
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Address Line | 9315 SW 61 COURT
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City | PINECREST
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State | FL
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Zip | 33156-1951
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Country | US
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Telephone | 305-665-8586
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Fax | 305-665-8586
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Authorized Official
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Title or Position | OWNER
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Name | MRS. WALLIS A. CHEFITZ
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Credential | OTR/L
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Telephone | 305-665-8586
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225XN1300X
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Taxonomy Name | Neurorehabilitation Occupational Therapist
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License Number |
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License Number State |
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