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General NPI Number Information
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NPI Number | 1396269692
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Entity Type | Individual
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Provider Name | CLAUDETTE DAISY SANTOS MS, OTR
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Gender | Female
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Dates
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Enumeration Date | 07/28/2017
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Last Update Date | 10/19/2023
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Provider Practice Location Address
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Address Line | 3200 S HIAWASSEE RD STE 203
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City | ORLANDO
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State | FL
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Zip | 32835-6317
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Country | US
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Telephone | 718-708-6043
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Fax |
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Provider Business Mailing Address
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Address Line | 400 E MOSHOLU PKWY S APT B2
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City | BRONX
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State | NY
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Zip | 10458-1775
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Country | US
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Telephone | 347-282-7248
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OT19231
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License Number State | FL
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