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General NPI Number Information
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NPI Number | 1922668656
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Entity Type | Individual
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Provider Name | ELAINE LLORENS
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Gender | Female
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Dates
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Enumeration Date | 06/14/2019
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Last Update Date | 11/28/2023
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Provider Practice Location Address
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Address Line | 2041 W STATE ROAD 426
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City | OVIEDO
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State | FL
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Zip | 32765-8548
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Country | US
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Telephone | 407-365-5676
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Fax |
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Provider Business Mailing Address
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Address Line | 2121 CHURCHILL DOWNS CIR
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City | ORLANDO
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State | FL
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Zip | 32825-8741
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Country | US
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Telephone | 786-473-7855
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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 | OT20076
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License Number State | FL
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