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General NPI Number Information
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NPI Number | 1700243995
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Entity Type | Organization
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Legal Business Name | FURTHERING INDEPENDENCE WITH THERAPY
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Dates
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Enumeration Date | 01/20/2016
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Last Update Date | 03/15/2016
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Provider Practice Location Address
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Address Line | 1781 NW 3RD AVE
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City | HOMESTEAD
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State | FL
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Zip | 33030-3164
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Country | US
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Telephone | 305-321-7169
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 343191
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City | HOMESTEAD
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State | FL
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Zip | 33034-0191
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Country | US
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Telephone | 305-321-7169
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | MRS. JEANINE GONZALEZ-ALVAREZ
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Credential | OTR/L
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Telephone | 305-321-7169
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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 |
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License Number State |
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