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General NPI Number Information
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NPI Number | 1528194503
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Entity Type | Individual
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Provider Name | JOSE DAVID SOLIS OTR
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Gender | Male
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Dates
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Enumeration Date | 02/26/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 7750 W 26TH AVE UNIT 2
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City | HIALEAH
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State | FL
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Zip | 33016-5698
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Country | US
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Telephone | 305-231-1276
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Fax |
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Provider Business Mailing Address
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Address Line | 19509 SW 54TH ST
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City | MIRAMAR
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State | FL
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Zip | 33029-6272
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Country | US
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Telephone | 954-499-0894
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OT7516
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License Number State | FL
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