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General NPI Number Information
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NPI Number | 1952975948
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Entity Type | Individual
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Provider Name | GENEVIEVE NICOLE MACIA MS, OTR/L
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Gender | Female
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Dates
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Enumeration Date | 05/14/2021
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Last Update Date | 12/02/2025
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Provider Practice Location Address
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Address Line | 6055 NW 104TH AVE STE 2
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City | DORAL
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State | FL
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Zip | 33178-4867
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Country | US
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Telephone | 786-476-5155
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Fax |
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Provider Business Mailing Address
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Address Line | 13432 SW 14TH TER
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City | MIAMI
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State | FL
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Zip | 33184-3330
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Country | US
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Telephone |
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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 | OT21427
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License Number State | FL
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