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General NPI Number Information
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NPI Number | 1649384587
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Entity Type | Individual
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Provider Name | COREY EMERT OTR/L
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Gender | Male
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Dates
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Enumeration Date | 08/18/2006
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Last Update Date | 10/04/2013
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Provider Practice Location Address
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Address Line | 9724 W SAMPLE RD
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City | CORAL SPRINGS
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State | FL
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Zip | 33065-4004
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Country | US
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Telephone | 954-255-5437
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Fax |
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Provider Business Mailing Address
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Address Line | 10870 NW 73RD CT
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City | PARKLAND
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State | FL
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Zip | 33076-1838
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Country | US
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Telephone |
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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 | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | OT-4694
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 222Q00000X
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Taxonomy Name | Developmental Therapist
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License Number | OT-4694
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License Number State | FL
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