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General NPI Number Information
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NPI Number | 1457871261
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Entity Type | Individual
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Provider Name | QURNISHA PRICE
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Gender | Female
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Dates
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Enumeration Date | 06/22/2017
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Last Update Date | 06/22/2017
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Provider Practice Location Address
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Address Line | 3865 TAMPA RD
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City | OLDSMAR
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State | FL
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Zip | 34677
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Country | US
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Telephone | 813-558-6588
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Fax |
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Provider Business Mailing Address
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Address Line | 648 BACON ST
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City | COCOA
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State | FL
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Zip | 32926
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Country | US
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Telephone | 813-638-1631
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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 | OT12452
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License Number State | FL
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