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General NPI Number Information
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NPI Number | 1760122766
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Entity Type | Individual
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Provider Name | LEEANN RENEE DEL PINO OTA
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Gender | Female
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Dates
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Enumeration Date | 03/30/2022
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Last Update Date | 03/30/2022
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Provider Practice Location Address
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Address Line | 3001 S CONGRESS AVE
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City | BOYNTON BEACH
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State | FL
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Zip | 33426-9012
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Country | US
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Telephone | 561-569-5732
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Fax |
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Provider Business Mailing Address
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Address Line | 9891 NW 26TH CT
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City | CORAL SPRINGS
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State | FL
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Zip | 33065-4901
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Country | US
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Telephone |
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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 | OTA13770
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number | OTA13770
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License Number State |
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