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General NPI Number Information
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NPI Number | 1386317493
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Entity Type | Individual
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Provider Name | KARLA M RIOS
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Gender | Female
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Dates
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Enumeration Date | 07/26/2021
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Last Update Date | 07/26/2021
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Provider Practice Location Address
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Address Line | 9417 DOWDEN RD APT 8308
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City | ORLANDO
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State | FL
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Zip | 32832-5687
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Country | US
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Telephone | 786-340-1263
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Fax |
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Provider Business Mailing Address
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Address Line | 9417 DOWDEN RD APT 8308
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City | ORLANDO
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State | FL
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Zip | 32832-5687
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Country | US
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Telephone | 786-340-1263
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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 | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number | 15396
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License Number State | FL
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