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General NPI Number Information
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NPI Number | 1629732268
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Entity Type | Organization
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Legal Business Name | DIY CHRONIC PAIN SOLUTIONS
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Dates
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Enumeration Date | 10/29/2021
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Last Update Date | 08/29/2025
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Provider Practice Location Address
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Address Line | 9601 SUNNYOAK DR
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City | RIVERVIEW
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State | FL
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Zip | 33569-5635
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Country | US
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Telephone | 813-625-2237
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Fax |
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Provider Business Mailing Address
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Address Line | 9601 SUNNYOAK DR
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City | RIVERVIEW
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State | FL
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Zip | 33569-5635
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Country | US
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Telephone | 813-625-2237
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LEANNE DEPA
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Credential | OTR/L
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Telephone | 813-625-2237
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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 |
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License Number State |
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