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General NPI Number Information
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NPI Number | 1699097840
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Entity Type | Individual
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Provider Name | RAYMONDO LORA MOT, OTR/L
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Gender | Male
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Dates
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Enumeration Date | 02/15/2010
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Last Update Date | 09/19/2025
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Provider Practice Location Address
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Address Line | 539 W COMMERCE ST # 6328
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City | DALLAS
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State | TX
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Zip | 75208-1953
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Country | US
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Telephone | 404-947-1818
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Fax | 470-777-2484
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Provider Business Mailing Address
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Address Line | 539 W COMMERCE ST # 6328
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City | DALLAS
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State | TX
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Zip | 75208-1953
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Country | US
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Telephone | 404-947-1818
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Fax | 470-777-2484
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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 | OT006834
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 120961
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License Number State | TX
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