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General NPI Number Information
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NPI Number | 1184903643
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Entity Type | Individual
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Provider Name | CAROL ANN JUST OTD
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Gender | Female
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Dates
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Enumeration Date | 08/15/2011
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Last Update Date | 06/28/2014
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Provider Practice Location Address
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Address Line | 2798 NE 27TH CIR
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City | BOCA RATON
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State | FL
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Zip | 33431-7546
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Country | US
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Telephone | 610-246-4564
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Fax |
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Provider Business Mailing Address
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Address Line | 2798 NE 27TH CIR
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City | BOCA RATON
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State | FL
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Zip | 33431-7546
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Country | US
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Telephone | 610-246-4564
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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 | 000278/L
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 7607
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License Number State | FL
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