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NPI Code Detail

MEDICARE: MRS. JACQUELINE DALAL

MEDICARE: MRS. JACQUELINE DALAL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1224Z00000XOccupational Therapy AssistantOTA10842FL

General Provider Information

NPI Number : 1568940245
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JACQUELINE DALAL
Provider Business Mailing Address
First Line : 16216 SW 47TH ST
Second Line :
City : MIAMI
State : FL
Zip : 33185-5158
Country : US
Telephone Number : 305-781-2161
Fax Number :
Provider Business Practice Location Address
First Line : 9400 SW 137TH AVE
Second Line :
City : MIAMI
State : FL
Zip : 33186-1434
Country : US
Telephone Number : 305-781-2161
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/03/2018
Last Update Date : 08/03/2018

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Directions to “ MRS. JACQUELINE DALAL ” Practice Location

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