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General NPI Number Information
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NPI Number | 1073077251
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Entity Type | Individual
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Provider Name | DANIELLE BENAI MCMANUS OTR/L
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Gender | Female
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Dates
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Enumeration Date | 01/22/2019
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Last Update Date | 01/22/2019
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Provider Practice Location Address
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Address Line | 9520 BONITA BEACH RD SE
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City | BONITA SPRINGS
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State | FL
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Zip | 34135-4517
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Country | US
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Telephone | 239-919-1142
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Fax |
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Provider Business Mailing Address
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Address Line | 17396 ORIOLE RD
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City | FORT MYERS
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State | FL
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Zip | 33967-5103
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Country | US
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Telephone | 239-980-4120
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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 | 3746
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License Number State | FL
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