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General NPI Number Information
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NPI Number | 1538070370
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Entity Type | Individual
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Provider Name | MICHELLE ELISA HIMALSTEIN
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Gender | Female
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Dates
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Enumeration Date | 09/12/2026
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Last Update Date | 09/12/2026
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Provider Practice Location Address
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Address Line | 5245 RAMSEY WAY STE 4
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City | FORT MYERS
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State | FL
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Zip | 33907-2124
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Country | US
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Telephone | 239-826-6505
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Fax | 239-230-1585
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Provider Business Mailing Address
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Address Line | 1751 MAPLE AVE
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City | FORT MYERS
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State | FL
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Zip | 33901-6014
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Country | US
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Telephone | 850-322-1353
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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 | OT18306
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License Number State | FL
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