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General NPI Number Information
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NPI Number | 1306718184
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Entity Type | Individual
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Provider Name | OMAR PEREZ SICILIA MT
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Gender | Male
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Dates
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Enumeration Date | 09/22/2025
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Last Update Date | 09/22/2025
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Provider Practice Location Address
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Address Line | 1411 CORAL WAY
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City | MIAMI
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State | FL
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Zip | 33145-2876
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Country | US
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Telephone | 305-619-9231
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Fax |
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Provider Business Mailing Address
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Address Line | 10123 SW 145TH CT
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City | MIAMI
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State | FL
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Zip | 33186-6904
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Country | US
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Telephone | 305-282-0882
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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 | 225A00000X
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Taxonomy Name | Music Therapist
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License Number |
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License Number State | FL
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