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General NPI Number Information
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NPI Number | 1578958369
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Entity Type | Individual
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Provider Name | YARMIS MEDINA OTR
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Gender | Female
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Dates
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Enumeration Date | 03/30/2015
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Last Update Date | 05/31/2025
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Provider Practice Location Address
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Address Line | 1508 NE 33RD LN
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City | CAPE CORAL
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State | FL
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Zip | 33909-3326
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Country | US
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Telephone | 305-519-8509
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Fax |
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Provider Business Mailing Address
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Address Line | 1508 NE 33RD LN
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City | CAPE CORAL
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State | FL
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Zip | 33909-3326
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Country | US
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Telephone | 305-519-8509
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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 | 26231
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number | OTA 14268
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License Number State | FL
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