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General NPI Number Information
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NPI Number | 1669621322
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Entity Type | Individual
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Provider Name | MIRYAM D SANDHAUS O.T.
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Gender | Female
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Dates
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Enumeration Date | 09/17/2008
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Last Update Date | 09/17/2008
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Provider Practice Location Address
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Address Line | 19999 E COUNTRY CLUB DR APT 407
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City | AVENTURA
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State | FL
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Zip | 33180-3081
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Country | US
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Telephone | 732-421-0844
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 802031
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City | MIAMI
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State | FL
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Zip | 33280-2031
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OT13322
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License Number State | FL
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