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General NPI Number Information
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NPI Number | 1437751864
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Entity Type | Individual
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Provider Name | JILLIAN ESTES OTD, OTR/L
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Gender | Female
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Dates
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Enumeration Date | 11/11/2020
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Last Update Date | 11/04/2024
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Provider Practice Location Address
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Address Line | 1001 10TH WAY
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City | WEST PALM BEACH
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State | FL
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Zip | 33407-6677
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Country | US
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Telephone | 561-247-4746
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Fax |
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Provider Business Mailing Address
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Address Line | 4728 ALORA ISLES DR APT 7314
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City | WEST PALM BEACH
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State | FL
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Zip | 33417-3611
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Country | US
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Telephone | 712-541-4610
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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 | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | OT21245
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License Number State | FL
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