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General NPI Number Information
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NPI Number | 1518435460
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Entity Type | Organization
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Legal Business Name | OVERFLOW F.S. LLC
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Dates
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Enumeration Date | 11/08/2018
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Last Update Date | 11/08/2018
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Provider Practice Location Address
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Address Line | 6301 SW 151ST CT
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City | MIAMI
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State | FL
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Zip | 33193-2750
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Country | US
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Telephone | 786-253-3901
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Fax |
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Provider Business Mailing Address
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Address Line | 6301 SW 151ST CT
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City | MIAMI
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State | FL
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Zip | 33193-2750
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Country | US
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Telephone | 786-253-3901
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | MARIA GABRIELA SABALLOS
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Credential | OTR/L
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Telephone | 786-253-3901
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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 |
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License Number State |
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