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General NPI Number Information
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NPI Number | 1992010920
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Entity Type | Individual
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Provider Name | MARILYN IRIZARRY OT
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Gender | Female
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Dates
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Enumeration Date | 08/13/2010
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Last Update Date | 08/13/2010
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Provider Practice Location Address
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Address Line | Y11 CALLE 1
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City | BAYAMON
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State | PR
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Zip | 00959-3739
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Country | US
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Telephone | 787-638-4360
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 9117 PMB 39
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City | BAYAMON
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State | PR
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Zip | 00960-9117
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Country | US
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Telephone | 787-638-4360
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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 | 1000
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License Number State | PR
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