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General NPI Number Information
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NPI Number | 1427274893
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Entity Type | Individual
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Provider Name | PATRICIA MARIN OT
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Gender | Female
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Dates
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Enumeration Date | 04/17/2007
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Last Update Date | 09/14/2010
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Provider Practice Location Address
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Address Line | 10 NW 42ND AVE STE 305
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City | MIAMI
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State | FL
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Zip | 33126-5473
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Country | US
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Telephone | 305-567-9194
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Fax | 305-567-9914
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Provider Business Mailing Address
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Address Line | 10105 E CALUSA CLUB DR
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City | MIAMI
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State | FL
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Zip | 33186-2343
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Country | US
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Telephone | 305-992-3498
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Fax | 305-408-4576
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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 | OT3200
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License Number State | FL
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