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General NPI Number Information
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NPI Number | 1689225914
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Entity Type | Individual
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Provider Name | SVETLANA LITVINOVA
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Gender | Female
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Dates
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Enumeration Date | 09/27/2019
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Last Update Date | 11/07/2024
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Provider Practice Location Address
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Address Line | 3276 PICCARD LOOP
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City | NEW PORT RICHEY
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State | FL
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Zip | 34655-3206
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Country | US
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Telephone | 727-355-1891
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1
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City | ELFERS
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State | FL
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Zip | 34680-0001
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Country | US
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Telephone | 727-207-6132
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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 | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number | C2289
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License Number State | WV
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