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General NPI Number Information
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NPI Number | 1437785284
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Entity Type | Individual
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Provider Name | TITO FIGUEROA
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Gender | Male
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Dates
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Enumeration Date | 03/12/2020
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Last Update Date | 03/12/2020
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Provider Practice Location Address
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Address Line | 1300 SW 22ND ST STE 207
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City | MIAMI
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State | FL
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Zip | 33145-2934
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Country | US
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Telephone | 305-854-7244
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Fax |
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Provider Business Mailing Address
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Address Line | 5200 NW 31ST AVE APT C54
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City | FORT LAUDERDALE
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State | FL
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Zip | 33309-2599
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Country | US
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Telephone | 954-501-4786
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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 | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number | OTA17710
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License Number State | FL
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