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General NPI Number Information
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NPI Number | 1588911630
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Entity Type | Organization
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Legal Business Name | NEW HORIZON THERAPY LLC
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Dates
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Enumeration Date | 08/08/2012
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Last Update Date | 08/08/2012
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Provider Practice Location Address
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Address Line | 140 NE 173RD ST
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City | NORTH MIAMI BEACH
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State | FL
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Zip | 33162-1735
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Country | US
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Telephone | 305-650-9103
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Fax |
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Provider Business Mailing Address
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Address Line | 140 NE 173RD ST
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City | NORTH MIAMI BEACH
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State | FL
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Zip | 33162-1735
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Country | US
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Telephone | 305-650-9103
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. SAMIRA JEAN-LOUIS
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Credential | MS, OTR/L
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Telephone | 786-344-4225
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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 | OT12343
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License Number State | FL
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