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General NPI Number Information
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NPI Number | 1033564182
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Entity Type | Individual
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Provider Name | ANDREA DAGGETT MS, OTR/L
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Gender | Female
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Dates
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Enumeration Date | 04/26/2016
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Last Update Date | 06/15/2016
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Provider Practice Location Address
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Address Line | 1660 MEDICAL BLVD SUITE 200
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City | NAPLES
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State | FL
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Zip | 34110-1413
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Country | US
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Telephone | 239-596-5799
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Fax |
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Provider Business Mailing Address
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Address Line | 7718 JEWEL LN 204
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City | NAPLES
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State | FL
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Zip | 34109-8766
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Country | US
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Telephone | 239-293-6155
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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 | OT 6597
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License Number State | FL
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