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General NPI Number Information
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NPI Number | 1417102435
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Entity Type | Individual
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Provider Name | LINDA MATTHEWS OTR/L
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Gender | Female
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Dates
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Enumeration Date | 11/18/2008
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Last Update Date | 11/10/2016
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Provider Practice Location Address
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Address Line | 275 NE 18TH ST 403
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City | MIAMI
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State | FL
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Zip | 33132-1117
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Country | US
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Telephone | 646-319-4242
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Fax |
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Provider Business Mailing Address
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Address Line | 8111 SW 82ND PL
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City | MIAMI
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State | FL
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Zip | 33143-6641
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Country | US
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Telephone | 646-319-4242
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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 | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | 009777
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License Number State | NY
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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 | 14620
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License Number State | FL
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