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General NPI Number Information
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NPI Number | 1174817365
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Entity Type | Individual
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Provider Name | AMY ELIZABETH DRINKWATER OTR/L
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Gender | Female
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Dates
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Enumeration Date | 06/05/2011
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Last Update Date | 06/05/2011
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Provider Practice Location Address
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Address Line | 3400 SE ASTER LN
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City | STUART
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State | FL
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Zip | 34994-5516
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Country | US
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Telephone | 772-781-4503
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Fax |
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Provider Business Mailing Address
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Address Line | 405 MANGROVE PT
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City | JUPITER
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State | FL
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Zip | 33458-8354
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Country | US
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Telephone | 561-748-6555
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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 | OT10027
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License Number State | FL
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