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General NPI Number Information
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NPI Number | 1700521655
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Entity Type | Individual
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Provider Name | KATHERINE RAMOS GONZALEZ
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Gender | Female
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Dates
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Enumeration Date | 05/04/2022
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Last Update Date | 05/04/2022
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Provider Practice Location Address
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Address Line | 111 E LAKE MARY BLVD STE 113
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City | SANFORD
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State | FL
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Zip | 32773-7111
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Country | US
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Telephone | 407-203-9492
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Fax |
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Provider Business Mailing Address
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Address Line | 103 S BAY LAKE AVE
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City | MASCOTTE
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State | FL
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Zip | 34753-9477
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Country | US
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Telephone | 407-969-5782
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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 | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number |
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License Number State |
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