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General NPI Number Information
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NPI Number | 1427171503
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Entity Type | Individual
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Provider Name | ELIZABETH CALZADILLA OTRL
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Gender | Female
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Dates
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Enumeration Date | 04/06/2007
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Last Update Date | 06/01/2011
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Provider Practice Location Address
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Address Line | 319 NW 153RD AVE
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City | PEMBROKE PINES
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State | FL
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Zip | 33028-1824
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Country | US
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Telephone | 954-648-1829
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Fax | 954-447-0283
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Provider Business Mailing Address
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Address Line | 319 NW 153RD AVENUE
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City | PEMBROKE PINES
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State | FL
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Zip | 33028-1824
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Country | US
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Telephone | 954-648-1829
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Fax | 954-447-0283
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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 | OT11987
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License Number State | FL
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