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General NPI Number Information
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NPI Number | 1346326451
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Entity Type | Organization
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Legal Business Name | JIM HAMMOND THERAPY
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Dates
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Enumeration Date | 10/31/2006
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 968 E 25TH ST
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City | HIALEAH
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State | FL
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Zip | 33013-3404
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Country | US
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Telephone | 305-696-5732
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Fax | 305-696-5342
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Provider Business Mailing Address
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Address Line | 968 E 25TH ST
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City | HIALEAH
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State | FL
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Zip | 33013-3404
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Country | US
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Telephone | 305-696-5732
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Fax | 305-696-5342
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Authorized Official
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Title or Position | OCCUPATIONAL THERAPIST
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Name | MRS. CIELO ZAPATA
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Credential |
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Telephone | 305-696-5732
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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 | 10-6657
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License Number State | FL
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