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General NPI Number Information
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NPI Number | 1457222069
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Entity Type | Individual
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Provider Name | JAMIE CENATUS
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Gender | Female
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Dates
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Enumeration Date | 09/16/2025
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Last Update Date | 11/03/2025
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Provider Practice Location Address
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Address Line | 1499 S BRANDYWINE CIR
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City | FORT MYERS
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State | FL
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Zip | 33919-6775
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Country | US
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Telephone | 239-433-0477
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Fax |
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Provider Business Mailing Address
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Address Line | 3731 WINKLER AVE APT 1228
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City | FORT MYERS
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State | FL
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Zip | 33916-7746
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Country | US
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Telephone | 727-267-7286
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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 | OT26474
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License Number State | FL
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