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General NPI Number Information
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NPI Number | 1285098822
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Entity Type | Individual
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Provider Name | JENNIFER BROW OTR
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Gender | Female
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Dates
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Enumeration Date | 04/10/2016
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Last Update Date | 01/05/2024
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Provider Practice Location Address
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Address Line | 75 FOX RIDGE CT STE G
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City | DEBARY
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State | FL
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Zip | 32713-2701
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Country | US
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Telephone | 386-785-6778
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Fax | 386-220-8710
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Provider Business Mailing Address
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Address Line | 532 TRADEWINDS DR
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City | DELTONA
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State | FL
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Zip | 32738-7791
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Country | US
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Telephone | 386-785-6778
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Fax | 386-220-8710
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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 | OT17605
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License Number State | FL
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