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General NPI Number Information
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NPI Number | 1396535019
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Entity Type | Individual
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Provider Name | FRANCIS MATTHEW GREEN OTD, OTR/L
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Gender |
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Dates
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Enumeration Date | 05/07/2025
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Last Update Date | 05/07/2025
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Provider Practice Location Address
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Address Line | 2318 GREENBRANCH DR STE 102
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City | WESLEY CHAPEL
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State | FL
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Zip | 33544-6797
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Country | US
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Telephone | 813-738-9680
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Fax |
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Provider Business Mailing Address
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Address Line | 1266 BAY HARBOR DR APT 202
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City | PALM HARBOR
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State | FL
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Zip | 34685-2498
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Country | US
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Telephone | 317-440-4821
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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 | OT26131
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License Number State | FL
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