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General NPI Number Information
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NPI Number | 1295987402
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Entity Type | Individual
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Provider Name | DANIELLE ELIZABETH YOUNG OTR/L
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Gender | Female
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Dates
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Enumeration Date | 10/21/2008
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Last Update Date | 04/28/2025
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Provider Practice Location Address
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Address Line | 3823 E STATE ROAD 64
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City | BRADENTON
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State | FL
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Zip | 34208-9041
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Country | US
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Telephone | 941-745-5111
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Fax |
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Provider Business Mailing Address
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Address Line | 2220 BRIDGEPORT CIR
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City | ROCKLEDGE
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State | FL
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Zip | 32955-4344
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Country | US
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Telephone | 484-695-5955
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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 | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | OT 12469
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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 |
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License Number State |
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