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General NPI Number Information
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NPI Number | 1326354952
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Entity Type | Individual
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Provider Name | ALI A ALKHATEEB OTR
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Gender | Male
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Dates
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Enumeration Date | 08/20/2010
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Last Update Date | 08/05/2011
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Provider Practice Location Address
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Address Line | 9234 LEELAND ARCHER BLVD
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City | ORLANDO
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State | FL
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Zip | 32836-8838
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Country | US
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Telephone | 321-946-3469
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Fax |
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Provider Business Mailing Address
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Address Line | 724 CHARLES ST
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City | ORLANDO
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State | FL
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Zip | 32808-7509
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Country | US
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Telephone | 321-946-3469
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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 | OT5607
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 225XL0004X
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Taxonomy Name | Low Vision Occupational Therapist
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License Number | OT5607
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License Number State | FL
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