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NPI 1700971348

NPI 1700971348 : JANETH VARON OTR/L CLT : MIAMI, FL

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General NPI Number Information
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    NPI Number           |    1700971348
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    Entity Type          |    Individual 
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    Provider Name        |    JANETH VARON OTR/L CLT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/03/2006
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    1611 NW 12 AVENUE 
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    City                 |    MIAMI
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    State                |    FL
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    Zip                  |    33136
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    Country              |    US
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    Telephone            |    305-585-7224
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    Fax                  |    305-585-6007
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Provider Business Mailing Address
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    Address Line         |    14095 SW 145 PL 
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    City                 |    MIAMI
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    State                |    FL
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    Zip                  |    33186
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    Country              |    US
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    Telephone            |    786-357-7928
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    Fax                  |    786-242-8332
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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       |    OT7529
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    License Number State |    FL
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