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General NPI Number Information
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NPI Number | 1073642963
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Entity Type | Individual
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Provider Name | JENNIFER C HIGGINS M.ED., OTR
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Gender | Female
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Dates
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Enumeration Date | 03/05/2007
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Last Update Date | 01/30/2017
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Provider Practice Location Address
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Address Line | 129 S PEBBLE BEACH BLVD SUITE 102
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City | SUN CITY CENTER
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State | FL
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Zip | 33573-5718
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Country | US
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Telephone | 813-633-6800
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Fax | 813-633-6801
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Provider Business Mailing Address
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Address Line | 3311 W TYSON AVE
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City | TAMPA
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State | FL
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Zip | 33611-4315
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Country | US
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Telephone | 813-909-5219
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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 | OT12393
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License Number State | FL
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