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General NPI Number Information
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NPI Number | 1679929632
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Entity Type | Organization
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Legal Business Name | SOMI THERAPY INC
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Dates
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Enumeration Date | 05/09/2016
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Last Update Date | 05/09/2016
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Provider Practice Location Address
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Address Line | 6601 SW 80TH ST SUITE 107
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City | SOUTH MIAMI
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State | FL
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Zip | 33143-4661
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Country | US
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Telephone | 305-680-9707
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Fax | 888-680-9708
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Provider Business Mailing Address
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Address Line | 6601 SW 80TH ST SUITE 107
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City | SOUTH MIAMI
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State | FL
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Zip | 33143-4661
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Country | US
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Telephone | 305-680-9707
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Fax | 888-680-9708
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Authorized Official
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Title or Position | OWNER / OCCUPATIONAL THERAPIST
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Name | CHRISTINE BETANCOURT
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Credential | OTR/L
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Telephone | 305-680-9707
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225XP0019X
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Taxonomy Name | Physical Rehabilitation Occupational Therapist
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License Number | OT13177
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | OT11756
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License Number State | FL
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