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General NPI Number Information
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NPI Number | 1689310450
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Entity Type | Individual
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Provider Name | ALESSANDRA CARDENAS OTR/L
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Gender | Female
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Dates
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Enumeration Date | 05/05/2022
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Last Update Date | 05/05/2022
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Provider Practice Location Address
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Address Line | 14900 NW 79TH CT STE 101
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City | MIAMI LAKES
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State | FL
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Zip | 33016-5791
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Country | US
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Telephone | 786-863-2466
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Fax |
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Provider Business Mailing Address
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Address Line | 13850 SW 38TH TER
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City | MIAMI
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State | FL
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Zip | 33175-6499
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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 | 225XP0019X
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Taxonomy Name | Physical Rehabilitation Occupational Therapist
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License Number | 22837
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License Number State | FL
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