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General NPI Number Information
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NPI Number | 1922115518
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Entity Type | Individual
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Provider Name | MARIA DE LOS ANGELES JORGE OTR/L
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Gender | Female
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Dates
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Enumeration Date | 08/23/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 1611 NW 12 TH AVE
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City | MIAMI
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State | FL
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Zip | 33136
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Country | US
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Telephone | 305-585-7224
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Fax | 305-585-6007
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Provider Business Mailing Address
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Address Line | 9756 NW 51ST TERR
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City | MIAMI
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State | FL
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Zip | 33178
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Country | US
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Telephone | 305-994-7337
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Fax | 305-585-6007
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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 | OT1078
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number |
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License Number State |
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