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General NPI Number Information
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NPI Number | 1275068538
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Entity Type | Individual
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Provider Name | YORDANKA ACEVEDO GARCIA
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Gender | Female
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Dates
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Enumeration Date | 04/25/2017
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Last Update Date | 01/18/2022
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Provider Practice Location Address
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Address Line | 9020 SW 137TH AVE
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City | MIAMI
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State | FL
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Zip | 33186-1427
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Country | US
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Telephone | 786-615-9400
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Fax | 305-271-7949
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Provider Business Mailing Address
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Address Line | 14823 SW 171ST TER
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City | MIAMI
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State | FL
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Zip | 33187-1777
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Country | US
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Telephone | 786-343-0706
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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 | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number | OTA15821
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License Number State | FL
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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 | OT22559
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License Number State | FL
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