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General NPI Number Information
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NPI Number | 1376515601
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Entity Type | Individual
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Provider Name | MEENU JETHWANI OTR/L
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Gender | Female
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Dates
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Enumeration Date | 02/02/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 310 SE 29TH PL STE. 200
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City | OCALA
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State | FL
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Zip | 34471-0486
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Country | US
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Telephone | 352-732-4006
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Fax | 352-732-5006
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Provider Business Mailing Address
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Address Line | PO BOX 4949
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City | OCALA
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State | FL
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Zip | 34478-4949
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Country | US
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Telephone | 352-732-4006
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Fax | 352-732-5006
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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 | OT-4799
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License Number State | FL
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