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General NPI Number Information
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NPI Number | 1053119727
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Entity Type | Individual
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Provider Name | DEANNA MAY MIDDLETON
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Gender | Female
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Dates
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Enumeration Date | 03/06/2025
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Last Update Date | 03/06/2025
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Provider Practice Location Address
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Address Line | 8449 SW HIGHWAY 200 STE 141
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City | OCALA
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State | FL
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Zip | 34481-9695
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Country | US
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Telephone | 352-254-3379
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Fax | 352-460-4301
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Provider Business Mailing Address
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Address Line | 5031 S MOORELAND PT
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City | HOMOSASSA
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State | FL
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Zip | 34448-4101
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Country | US
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Telephone | 352-501-0716
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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 | OT24151
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License Number State | FL
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