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General NPI Number Information
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NPI Number | 1760430474
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Entity Type | Individual
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Provider Name | CONSUELO CORTES-PADILLA
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Gender | Female
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Dates
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Enumeration Date | 05/05/2006
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Last Update Date | 09/06/2017
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Provider Practice Location Address
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Address Line | 14335 SW 120TH ST 113
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City | MIAMI
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State | FL
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Zip | 33186-7294
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Country | US
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Telephone | 305-382-6968
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Fax |
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Provider Business Mailing Address
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Address Line | 4772 SW 154TH CT
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City | MIAMI
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State | FL
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Zip | 33185-4426
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Country | US
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Telephone | 305-281-6505
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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 | OT3078
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License Number State | FL
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