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General NPI Number Information
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NPI Number | 1396995676
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Entity Type | Organization
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Legal Business Name | MIAMI CHILDREN'S HOSPITAL
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Dates
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Enumeration Date | 09/24/2008
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Last Update Date | 09/24/2008
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Provider Practice Location Address
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Address Line | 3601 NW 107TH AVE
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City | DORAL
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State | FL
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Zip | 33178-4377
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Country | US
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Telephone | 305-418-7741
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Fax | 305-418-7707
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Provider Business Mailing Address
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Address Line | 3601 NW 107TH AVE
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City | DORAL
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State | FL
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Zip | 33178-4377
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Country | US
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Telephone | 305-418-7741
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Fax | 305-418-7707
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Authorized Official
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Title or Position | OCCUPATIONAL THERAPIST
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Name | MS. VERONICA NAVIA
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Credential | M.S. OTR/L
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Telephone | 305-418-7741
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 283XC2000X
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Taxonomy Name | Children's Rehabilitation Hospital
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License Number | OT 12863
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License Number State | FL
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