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General NPI Number Information
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NPI Number | 1124676333
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Entity Type | Individual
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Provider Name | DANIELLE REISCHER
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Gender | Female
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Dates
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Enumeration Date | 08/30/2019
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Last Update Date | 08/30/2019
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Provider Practice Location Address
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Address Line | 6900 TAVISTOCK LAKES BLVD STE 400
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City | ORLANDO
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State | FL
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Zip | 32827-7593
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Country | US
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Telephone | 407-970-0824
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Fax |
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Provider Business Mailing Address
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Address Line | 4205 LONG KEY LN APT 1514
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City | WINTER PARK
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State | FL
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Zip | 32792-6934
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Country | US
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Telephone |
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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 | OT20287
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License Number State | FL
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