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General NPI Number Information
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NPI Number | 1356435382
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Entity Type | Individual
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Provider Name | ANTONIA LLULL MOT,OTR/L
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Gender | Female
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Dates
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Enumeration Date | 10/03/2006
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Last Update Date | 05/27/2025
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Provider Practice Location Address
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Address Line | 505 MAITLAND AVE STE 1150
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City | ALTAMONTE SPRINGS
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State | FL
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Zip | 32701-6306
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Country | US
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Telephone | 321-972-1617
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Fax | 321-972-1947
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Provider Business Mailing Address
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Address Line | 505 MAITLAND AVE STE 1150
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City | ALTAMONTE SPRINGS
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State | FL
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Zip | 32701-6306
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Country | US
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Telephone | 321-972-1617
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Fax | 321-972-1947
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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 | OT8396
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 019956-1
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 46TR00716600
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License Number State | NJ
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