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General NPI Number Information
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NPI Number | 1194458513
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Entity Type | Individual
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Provider Name | BARAA BARAKAT
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Gender | Male
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Dates
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Enumeration Date | 07/04/2022
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Last Update Date | 05/29/2025
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Provider Practice Location Address
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Address Line | 2395 JAEGER DR APT 5A
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City | DELRAY BEACH
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State | FL
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Zip | 33444-2042
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Country | US
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Telephone | 561-200-6824
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Fax |
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Provider Business Mailing Address
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Address Line | 7901 4TH ST N STE 300
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City | ST PETERSBURG
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State | FL
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Zip | 33702-4399
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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 |
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License Number State | FL
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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 | OT25151
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License Number State | CA
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