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General NPI Number Information
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NPI Number | 1689861684
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Entity Type | Individual
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Provider Name | LUZ MARIA PALACIO OTR/L
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Gender | Female
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Dates
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Enumeration Date | 10/03/2007
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Last Update Date | 06/04/2025
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Provider Practice Location Address
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Address Line | 2011 HARRISON AVE
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City | PANAMA CITY
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State | FL
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Zip | 32405-4545
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Country | US
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Telephone | 506-914-1888
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Fax |
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Provider Business Mailing Address
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Address Line | 3334 CAPITAL MEDICAL BLVD STE 400
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City | TALLAHASSEE
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State | FL
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Zip | 32308-4470
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Country | US
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Telephone | 850-877-8174
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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 | OT11721
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License Number State | FL
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