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General NPI Number Information
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NPI Number | 1235899501
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Entity Type | Individual
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Provider Name | TAYLOR SMITH FLITCRAFT OTR/L
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Gender | Female
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Dates
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Enumeration Date | 12/28/2021
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Last Update Date | 07/28/2025
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Provider Practice Location Address
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Address Line | 13405 PANAMA CITY BEACH PKWY STE A
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City | PANAMA CITY BEACH
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State | FL
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Zip | 32407-2885
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Country | US
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Telephone | 850-236-7497
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Fax | 850-236-7499
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Provider Business Mailing Address
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Address Line | 3210 JENKS AVE
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City | PANAMA CITY
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State | FL
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Zip | 32405-4224
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Country | US
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Telephone | 850-763-0603
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Fax | 850-769-5914
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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 | 22630
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License Number State | FL
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