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General NPI Number Information
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NPI Number | 1215407440
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Entity Type | Individual
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Provider Name | JACLYN BATTS OTR/L
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Gender | Female
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Dates
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Enumeration Date | 11/30/2018
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Last Update Date | 11/30/2018
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Provider Practice Location Address
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Address Line | 60 N CHARLES RICHARD BEALL BLVD
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City | DEBARY
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State | FL
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Zip | 32713-2513
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Country | US
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Telephone | 386-668-4426
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Fax |
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Provider Business Mailing Address
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Address Line | 5321 VIA APPIA WAY
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City | SANFORD
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State | FL
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Zip | 32771-5454
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Country | US
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Telephone | 407-718-4556
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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 | 15885
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License Number State | FL
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