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General NPI Number Information
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NPI Number | 1609478395
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Entity Type | Individual
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Provider Name | DENICE JAHREIS
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Gender | Female
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Dates
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Enumeration Date | 11/09/2020
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Last Update Date | 07/29/2025
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Provider Practice Location Address
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Address Line | 14215 W COLONIAL DR
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City | WINTER GARDEN
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State | FL
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Zip | 34787-4208
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Country | US
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Telephone | 407-270-1904
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Fax |
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Provider Business Mailing Address
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Address Line | 10213 TROUT LN
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City | ORLANDO
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State | FL
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Zip | 32836-6557
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Country | US
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Telephone | 321-663-4501
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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 | OT5198
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License Number State | FL
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