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General NPI Number Information
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NPI Number | 1518943976
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Entity Type | Individual
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Provider Name | DIANA THERESA KRIEL OT
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Gender | Female
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Dates
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Enumeration Date | 12/19/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 3066 JOG RD ADVANCED PEDIATRIC SYSTEM
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City | GREENACRES
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State | FL
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Zip | 33467-2053
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Country | US
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Telephone | 561-357-5883
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Fax | 561-357-5884
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Provider Business Mailing Address
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Address Line | 373 DRIFTWOOD TER
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City | BOCA RATON
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State | FL
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Zip | 33431-8258
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Country | US
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Telephone | 561-361-9851
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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 | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | OT10800
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License Number State | FL
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