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General NPI Number Information
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NPI Number | 1295030070
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Entity Type | Individual
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Provider Name | ERIKA BERMEO OT
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Gender | Female
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Dates
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Enumeration Date | 01/25/2011
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Last Update Date | 04/04/2011
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Provider Practice Location Address
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Address Line | 14291 SW 120TH ST STE #103
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City | MIAMI
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State | FL
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Zip | 33186-7286
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Country | US
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Telephone | 305-385-0168
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Fax | 305-385-0182
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Provider Business Mailing Address
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Address Line | 1462 SW 145TH PL
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City | MIAMI
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State | FL
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Zip | 33184-3130
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Country | US
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Telephone | 786-543-0675
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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 | OT14469
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License Number State | FL
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