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General NPI Number Information
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NPI Number | 1588067821
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Entity Type | Individual
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Provider Name | VITO GASPARRO OTA
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Gender | Male
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Dates
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Enumeration Date | 10/01/2014
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Last Update Date | 11/09/2016
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Provider Practice Location Address
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Address Line | 9425 SW 72ND ST STE 261
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City | MIAMI
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State | FL
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Zip | 33173-5457
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Country | US
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Telephone | 305-271-7343
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Fax | 305-271-7949
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Provider Business Mailing Address
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Address Line | 9425 SW 72ND ST 9425 SW 72 STREET SUITE 261
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City | MIAMI
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State | FL
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Zip | 33173-3251
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Country | US
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Telephone | 305-271-7949
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Fax | 305-271-7949
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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 | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number | OTA 13908
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License Number State | FL
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