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General NPI Number Information
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NPI Number | 1295478634
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Entity Type | Individual
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Provider Name | HAYLEY MARS GOODMAN OTD, OTR/L
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Gender | Female
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Dates
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Enumeration Date | 04/14/2022
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Last Update Date | 04/18/2022
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Provider Practice Location Address
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Address Line | 6000 S RIO GRANDE AVE STE 206
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City | ORLANDO
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State | FL
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Zip | 32809-4650
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Country | US
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Telephone | 407-280-3776
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Fax |
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Provider Business Mailing Address
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Address Line | 5728 MAJOR BLVD STE 600
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City | ORLANDO
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State | FL
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Zip | 32819-7970
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Country | US
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Telephone |
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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 | OT23066
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License Number State | FL
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