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General NPI Number Information
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NPI Number | 1821741620
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Entity Type | Organization
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Legal Business Name | MINDFUL & CARING OCCUPATIONAL THERAPY LLC
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Dates
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Enumeration Date | 02/01/2022
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Last Update Date | 02/01/2022
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Provider Practice Location Address
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Address Line | 390 PONDELLA RD STE 12
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City | NORTH FORT MYERS
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State | FL
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Zip | 33903-4340
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Country | US
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Telephone | 239-265-2951
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Fax |
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Provider Business Mailing Address
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Address Line | 904 NE 10TH TER
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City | CAPE CORAL
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State | FL
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Zip | 33909-1431
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Country | US
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Telephone | 239-265-2951
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Fax |
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Authorized Official
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Title or Position | OTR/L
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Name | MARLEY FERNANDEZ
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Credential |
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Telephone | 239-265-2951
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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 |
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License Number State |
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