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General NPI Number Information
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NPI Number | 1538608872
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Entity Type | Individual
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Provider Name | REBEKAH GAST MOT, OTR/L
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Gender | Female
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Dates
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Enumeration Date | 02/20/2017
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Last Update Date | 03/26/2025
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Provider Practice Location Address
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Address Line | 2639 W SR 434 LONGWOOD
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City | LONGWOOD
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State | FL
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Zip | 32779
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Country | US
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Telephone | 321-972-8326
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Fax |
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Provider Business Mailing Address
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Address Line | 917 CUTLER RD
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City | LONGWOOD
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State | FL
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Zip | 32779-3525
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Country | US
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Telephone |
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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 | 2017000764
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License Number State | MO
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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 | OT18916
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License Number State | FL
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