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General NPI Number Information
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NPI Number | 1043106826
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Entity Type | Individual
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Provider Name | CARLINE CENOBLE OTR/L
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Gender | Female
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Dates
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Enumeration Date | 06/17/2025
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Last Update Date | 06/17/2025
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Provider Practice Location Address
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Address Line | 5424 LAND O LAKES BLVD
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City | LAND O LAKES
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State | FL
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Zip | 34639-3453
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Country | US
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Telephone | 813-355-1173
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Fax | 813-996-9691
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Provider Business Mailing Address
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Address Line | 12032 CEDARFIELD DR
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City | RIVERVIEW
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State | FL
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Zip | 33579-1100
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Country | US
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Telephone | 813-816-4165
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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 | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | 26188
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License Number State | FL
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