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General NPI Number Information
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NPI Number | 1578428637
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Entity Type | Individual
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Provider Name | ANGELINA DALLMANN BENNETT
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Gender | Female
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Dates
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Enumeration Date | 12/22/2025
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Last Update Date | 12/22/2025
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Provider Practice Location Address
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Address Line | 833 E LAKE RD N
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City | TARPON SPRINGS
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State | FL
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Zip | 34688-6308
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Country | US
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Telephone | 727-202-9314
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Fax |
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Provider Business Mailing Address
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Address Line | 730 SCOTLAND ST
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City | DUNEDIN
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State | FL
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Zip | 34698-7123
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Country | US
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Telephone | 386-264-1071
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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 | OT3512
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License Number State | FL
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