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General NPI Number Information
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NPI Number | 1760508972
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Entity Type | Individual
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Provider Name | BLANCA I. OYOLA M.ED, OTR
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Gender | Female
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Dates
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Enumeration Date | 03/21/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 13503 SW 104TH CT
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City | MIAMI
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State | FL
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Zip | 33176-6033
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Country | US
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Telephone | 305-256-8652
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 770434
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City | MIAMI
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State | FL
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Zip | 33177-0008
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Country | US
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Telephone | 305-772-4644
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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 | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | 1091OT
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License Number State | FL
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