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General NPI Number Information
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NPI Number | 1649149568
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Entity Type | Individual
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Provider Name | JENNA M LEE OTR/L
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Gender | Female
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Dates
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Enumeration Date | 10/30/2025
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Last Update Date | 10/30/2025
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Provider Practice Location Address
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Address Line | 2303 W BANGS AVE
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City | NEPTUNE
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State | NJ
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Zip | 07753-4111
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Country | US
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Telephone | 732-774-3500
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Fax |
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Provider Business Mailing Address
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Address Line | 147 NAUTILUS DR
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City | BARNEGAT
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State | NJ
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Zip | 08005-1335
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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 | 46TR01230800
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License Number State | NJ
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