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General NPI Number Information
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NPI Number | 1508157751
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Entity Type | Individual
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Provider Name | DANALYN ELIZABETH MARIE WORKENTIN O.T.D.
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Gender | Female
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Dates
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Enumeration Date | 04/22/2011
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Last Update Date | 05/06/2019
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Provider Practice Location Address
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Address Line | 8225 MALLOW MIRROR LN
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City | LAND O' LAKES
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State | FL
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Zip | 34637-3463
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Country | US
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Telephone | 208-571-1180
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Fax |
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Provider Business Mailing Address
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Address Line | 8225 MALLOW MIRROR LN
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City | LAND O' LAKES
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State | FL
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Zip | 34637
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Country | US
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Telephone | 208-571-1180
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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 | OT845
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License Number State | ID
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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 | 23382
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License Number State | OR
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Taxonomy #3
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OT 60178977
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License Number State | WA
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Taxonomy #4
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OT17655
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License Number State | FL
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