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NPI 1588586630

NPI 1588586630 : ARIELLE AUGUSTIN OTR/L : FORT LAUDERDALE, FL

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General NPI Number Information
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    NPI Number           |    1588586630
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    Entity Type          |    Individual 
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    Provider Name        |    ARIELLE AUGUSTIN OTR/L
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/29/2026
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    Last Update Date     |    07/29/2026
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Provider Practice Location Address
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    Address Line         |    4725 N FEDERAL HWY 
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    City                 |    FORT LAUDERDALE
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    State                |    FL
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    Zip                  |    33308-4668
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    Country              |    US
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    Telephone            |    954-771-8000
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    3010 N COURSE DR APT 609 
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    City                 |    POMPANO BEACH
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    State                |    FL
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    Zip                  |    33069-3333
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    Country              |    US
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    Telephone            |    561-932-7782
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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       |    29148
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    License Number State |    CA
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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       |    25259
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    License Number State |    FL
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