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General NPI Number Information
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NPI Number | 1497009591
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Entity Type | Individual
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Provider Name | SHIRLEY MAUREEN GARCIA OTR
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Gender | Female
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Dates
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Enumeration Date | 10/29/2012
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Last Update Date | 05/13/2023
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Provider Practice Location Address
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Address Line | 11 LLOSEE CT
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City | PALM COAST
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State | FL
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Zip | 32164-5876
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Country | US
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Telephone | 321-626-8635
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Fax |
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Provider Business Mailing Address
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Address Line | 11 LLOSEE CT
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City | PALM COAST
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State | FL
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Zip | 32164-5876
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Country | US
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Telephone | 321-626-8635
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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 | 225XP0019X
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Taxonomy Name | Physical Rehabilitation Occupational Therapist
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License Number | 7932
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License Number State | FL
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