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General NPI Number Information
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NPI Number | 1407196678
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Entity Type | Organization
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Legal Business Name | SKILLS BUILDERS THERAPY GROUP
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Dates
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Enumeration Date | 02/25/2013
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Last Update Date | 01/26/2023
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Provider Practice Location Address
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Address Line | 14750 SW 26TH ST STE 211
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City | MIAMI
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State | FL
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Zip | 33185-5937
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Country | US
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Telephone | 305-220-8222
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Fax | 786-615-9608
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Provider Business Mailing Address
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Address Line | 14750 SW 26TH ST STE 211
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City | MIAMI
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State | FL
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Zip | 33185-5937
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Country | US
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Telephone | 305-220-8222
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Fax | 786-615-9608
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. MAVIS REYES
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Credential | OTR/L
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Telephone | 305-220-8222
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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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 |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number | OTA12183
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License Number State | FL
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