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General NPI Number Information
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NPI Number | 1437722329
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Entity Type | Individual
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Provider Name | JOSHUA BENNETT OTR/L
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Gender | Male
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Dates
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Enumeration Date | 07/20/2021
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Last Update Date | 09/20/2024
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Provider Practice Location Address
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Address Line | 2890 SW 73RD WAY APT 1307
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City | DAVIE
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State | FL
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Zip | 33314-1018
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Country | US
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Telephone | 847-370-0442
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Fax |
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Provider Business Mailing Address
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Address Line | 424 SW 27TH AVE BLDG 6105
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City | FORT LAUDERDALE
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State | FL
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Zip | 33312-2099
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Country | US
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Telephone | 847-370-0442
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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 |
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License Number State |
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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 | 21985
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License Number State | FL
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