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General NPI Number Information
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NPI Number | 1447562822
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Entity Type | Individual
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Provider Name | TIMATHIE DEVI MAHARANA OTR
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Gender | Female
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Dates
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Enumeration Date | 07/13/2010
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Last Update Date | 11/18/2021
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Provider Practice Location Address
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Address Line | 2606 AVENTURA BLVD UNIT 1-204
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City | LAND O LAKES
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State | FL
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Zip | 34638-8231
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Country | US
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Telephone | 646-623-1200
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Fax |
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Provider Business Mailing Address
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Address Line | 2606 AVENTURA BLVD UNIT 1-204
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City | LAND O LAKES
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State | FL
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Zip | 34638-8231
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Country | US
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Telephone | 646-623-1200
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 20055
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | 007617
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License Number State | NY
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