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General NPI Number Information
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NPI Number | 1528853918
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Entity Type | Organization
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Legal Business Name | HAND LAB FL LLC
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Dates
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Enumeration Date | 04/14/2025
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Last Update Date | 05/25/2025
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Provider Practice Location Address
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Address Line | 15300 S JOG RD STE 103
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City | DELRAY BEACH
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State | FL
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Zip | 33446-2164
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Country | US
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Telephone | 561-908-2395
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Fax | 561-870-0153
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Provider Business Mailing Address
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Address Line | 2923 BELLAROSA CIR
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City | ROYAL PALM BEACH
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State | FL
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Zip | 33411-1467
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Country | US
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Telephone | 240-418-1715
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Fax |
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Authorized Official
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Title or Position | MGR
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Name | DR. BRANDON HENDERSON
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Credential | OTD, CHT
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Telephone | 240-418-1715
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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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 |
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License Number State |
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