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General NPI Number Information
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NPI Number | 1386913630
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Entity Type | Organization
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Legal Business Name | JACQUELINE FARINAS THERAPY INC
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Dates
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Enumeration Date | 12/15/2011
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Last Update Date | 12/15/2011
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Provider Practice Location Address
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Address Line | 9901 SW 32ND ST
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City | MIAMI
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State | FL
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Zip | 33165-2910
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Country | US
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Telephone | 305-502-5367
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Fax | 305-223-0504
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Provider Business Mailing Address
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Address Line | 9901 SW 32ND ST
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City | MIAMI
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State | FL
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Zip | 33165-2910
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Country | US
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Telephone | 305-502-5367
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Fax | 305-223-0504
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Authorized Official
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Title or Position | PRESIDENT
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Name | JACQUELINE A FARINAS
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Credential | OTR
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Telephone | 305-502-5367
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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 | OT 2909
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License Number State | FL
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