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General NPI Number Information
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NPI Number | 1972054526
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Entity Type | Organization
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Legal Business Name | SKILLS FOR LIFE THERAPY SERVICES, LLC
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Dates
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Enumeration Date | 10/19/2016
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Last Update Date | 10/19/2016
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Provider Practice Location Address
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Address Line | 17316 NW 74TH AVE 101
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City | HIALEAH
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State | FL
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Zip | 33015-7172
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Country | US
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Telephone | 786-208-9237
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Fax |
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Provider Business Mailing Address
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Address Line | 17316 NW 74TH AVE 101
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City | HIALEAH
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State | FL
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Zip | 33015-7172
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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 | PRESIDENT
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Name | KATERINA ALEMAN
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Credential | OT
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Telephone | 786-208-9237
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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 | OT 15139
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License Number State | FL
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