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General NPI Number Information
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NPI Number | 1851791685
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Entity Type | Organization
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Legal Business Name | TINA GELPI OTD LLC
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Dates
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Enumeration Date | 08/29/2014
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Last Update Date | 08/29/2014
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Provider Practice Location Address
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Address Line | 4253 BAY BEACH LN APT 7F
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City | FORT MYERS BEACH
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State | FL
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Zip | 33931-4953
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Country | US
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Telephone | 239-565-2503
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Fax |
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Provider Business Mailing Address
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Address Line | 4253 BAY BEACH LN APT 7F
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City | FORT MYERS BEACH
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State | FL
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Zip | 33931-4953
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Country | US
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Telephone | 239-565-2503
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Fax |
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Authorized Official
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Title or Position | OCCUPATIONAL THERAPIST
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Name | DR. TINA MARIE GELPI
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Credential | OTD, OTR/L
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Telephone | 239-565-2503
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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 | OT9312
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License Number State | FL
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