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General NPI Number Information
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NPI Number | 1467574517
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Entity Type | Individual
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Provider Name | ANNETTE SOBRADO-PICHARDO OTR
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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 | 01/06/2011
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Provider Practice Location Address
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Address Line | 1215 E. ORANGE ST.
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City | LAKELAND
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State | FL
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Zip | 33801
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Country | US
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Telephone | 863-802-3800
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Fax | 863-802-3800
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Provider Business Mailing Address
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Address Line | POBOX 438
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City | DADECITY
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State | FL
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Zip | 33526-0438
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Country | US
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Telephone | 305-297-0345
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Fax | 863-802-3800
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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 | OT 2420
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License Number State | FL
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