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General NPI Number Information
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NPI Number | 1427389949
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Entity Type | Individual
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Provider Name | LINDA MONTREUIL FARES OTR/L
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Gender | Female
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Dates
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Enumeration Date | 01/22/2010
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Last Update Date | 09/05/2025
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Provider Practice Location Address
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Address Line | 210 S BEACH ST STE 200
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City | DAYTONA BEACH
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State | FL
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Zip | 32114-4433
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Country | US
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Telephone | 386-898-6040
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Fax |
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Provider Business Mailing Address
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Address Line | 3588 GRANDE TUSCANY WAY
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City | NEW SMYRNA BEACH
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State | FL
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Zip | 32168-5341
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Country | US
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Telephone | 727-481-3257
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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 | OT 9523
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License Number State | FL
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