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General NPI Number Information
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NPI Number | 1295171601
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Entity Type | Individual
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Provider Name | YENICEL PADRON OT
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Gender | Female
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Dates
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Enumeration Date | 05/13/2013
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Last Update Date | 06/25/2021
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Provider Practice Location Address
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Address Line | 6600 MAIN ST APT 1516
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City | MIAMI LAKES
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State | FL
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Zip | 33014-2294
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Country | US
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Telephone | 786-597-0516
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Fax | 754-732-2400
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Provider Business Mailing Address
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Address Line | 6600 MAIN ST APT 1516
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City | MIAMI LAKES
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State | FL
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Zip | 33014-2294
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Country | US
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Telephone | 786-597-0516
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Fax | 754-732-2400
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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 | OT20204
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License Number State |
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