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General NPI Number Information
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NPI Number | 1447787643
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Entity Type | Individual
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Provider Name | KERIANN LEE OTR/L
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Gender | Female
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Dates
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Enumeration Date | 05/18/2017
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Last Update Date | 05/18/2017
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Provider Practice Location Address
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Address Line | 9211 W BROWARD BLVD
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City | PLANTATION
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State | FL
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Zip | 33324-2401
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Country | US
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Telephone | 954-472-2860
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Fax |
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Provider Business Mailing Address
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Address Line | 12268 NW 48TH DR
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City | CORAL SPRINGS
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State | FL
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Zip | 33076-3458
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Country | US
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Telephone | 954-304-6935
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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 | OT13970
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License Number State | FL
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