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General NPI Number Information
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NPI Number | 1558532168
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Entity Type | Individual
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Provider Name | NICOLE MICHELLE PEREZ OTR/L
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Gender | Female
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Dates
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Enumeration Date | 03/23/2008
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Last Update Date | 03/15/2024
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Provider Practice Location Address
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Address Line | 20345 MAJESTIC ST
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City | ORLANDO
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State | FL
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Zip | 32833-3828
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Country | US
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Telephone | 305-794-5063
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Fax |
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Provider Business Mailing Address
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Address Line | 1004 RUTH JORDANA CT
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City | OCOEE
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State | FL
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Zip | 34761-3250
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Country | US
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Telephone | 407-242-1431
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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 | 12758
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License Number State | FL
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