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General NPI Number Information
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NPI Number | 1578899589
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Entity Type | Individual
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Provider Name | MAUREEN SANTOS SANTIAGO OTR
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Gender | Female
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Dates
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Enumeration Date | 10/26/2009
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Last Update Date | 12/04/2009
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Provider Practice Location Address
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Address Line | 423 E 23RD ST
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City | NEW YORK
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State | NY
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Zip | 10010-5011
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Country | US
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Telephone | 212-686-7500
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Fax |
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Provider Business Mailing Address
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Address Line | 3201 W COMMERCIAL BLVD SUITE 116
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City | FORT LAUDERDALE
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State | FL
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Zip | 33309-3440
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Country | US
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Telephone | 800-886-8108
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Fax | 866-422-6431
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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 | OC011272
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License Number State | PA
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