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NPI 1083754394

NPI 1083754394 : ADRIENNE SHARI FEINER-TRACHTENBERG M,OT : BOYNTON BEACH, FL

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General NPI Number Information
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    NPI Number           |    1083754394
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    Entity Type          |    Individual 
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    Provider Name        |    ADRIENNE SHARI FEINER-TRACHTENBERG M,OT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    02/07/2007
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    Last Update Date     |    05/13/2011
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Provider Practice Location Address
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    Address Line         |    1779 N CONGRESS AVE 398
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    City                 |    BOYNTON BEACH
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    State                |    FL
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    Zip                  |    33426-8205
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    Country              |    US
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    Telephone            |    561-731-1974
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1779 N CONGRESS AVE 398
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    City                 |    BOYNTON BEACH
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    State                |    FL
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    Zip                  |    33426-8205
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    Country              |    US
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    Telephone            |    561-731-1974
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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       |    OT9138
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    License Number State |    FL
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Taxonomy #2
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    Taxonomy Code        |    222Q00000X
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    Taxonomy Name        |    Developmental Therapist
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    License Number       |    OT9138
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    License Number State |    FL
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