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General NPI Number Information
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NPI Number | 1417596073
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Entity Type | Individual
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Provider Name | TAYLOR SWAIN SIMPSON OT
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Gender | Female
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Dates
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Enumeration Date | 12/31/2019
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Last Update Date | 10/23/2024
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Provider Practice Location Address
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Address Line | 655 W 8TH ST
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City | JACKSONVILLE
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State | FL
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Zip | 32209-6511
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Country | US
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Telephone | 904-244-1157
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Fax |
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Provider Business Mailing Address
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Address Line | 1050 INDUSTRIAL RD STE 210
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City | MIDDLETOWN
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State | DE
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Zip | 19709-2803
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Country | US
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Telephone | 302-389-7855
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Fax | 302-449-2047
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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 | U1-0002117
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License Number State | DE
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