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General NPI Number Information
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NPI Number | 1265774004
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Entity Type | Organization
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Legal Business Name | VALERIA VELA OTR, INC
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Dates
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Enumeration Date | 03/19/2013
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Last Update Date | 03/19/2013
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Provider Practice Location Address
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Address Line | 9531 SW 151ST AVE
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City | MIAMI
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State | FL
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Zip | 33196-1248
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Country | US
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Telephone | 786-439-6343
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Fax |
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Provider Business Mailing Address
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Address Line | 9531 SW 151ST AVE
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City | MIAMI
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State | FL
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Zip | 33196-1248
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Country | US
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Telephone | 786-439-6343
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Fax |
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Authorized Official
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Title or Position | OCCUPATIONAL THERAPIST REGISTERED
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Name | VALERIA VELA
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Credential | OTR/L
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Telephone | 786-439-6343
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | OT12487
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License Number State | FL
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