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General NPI Number Information
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NPI Number | 1700125853
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Entity Type | Individual
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Provider Name | MARIE CARMEL LEROY-DESIR OTR
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Gender | Female
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Dates
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Enumeration Date | 02/10/2013
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Last Update Date | 07/30/2020
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Provider Practice Location Address
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Address Line | 7000 W PALMETTO PARK RD STE 210
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City | BOCA RATON
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State | FL
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Zip | 33433-3430
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Country | US
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Telephone | 561-409-4490
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Fax | 565-447-8190
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Provider Business Mailing Address
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Address Line | 21167 VIA VENTURA
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City | BOCA RATON
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State | FL
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Zip | 33433-2231
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Country | US
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Telephone | 970-988-0984
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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 | 77950
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License Number State | FL
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