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General NPI Number Information
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NPI Number | 1346748373
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Entity Type | Individual
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Provider Name | HELENA SHIRA EHRLICH OTR/L
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Gender | Female
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Dates
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Enumeration Date | 01/24/2018
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Last Update Date | 01/30/2018
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Provider Practice Location Address
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Address Line | 19635 STATE ROAD 7
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City | BOCA RATON
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State | FL
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Zip | 33498-4743
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Country | US
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Telephone | 561-218-0128
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Fax |
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Provider Business Mailing Address
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Address Line | 11699 MANTOVA BAY CIR
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City | BOYNTON BEACH
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State | FL
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Zip | 33473-5036
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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 | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | 18943
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License Number State | FL
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