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General NPI Number Information
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NPI Number | 1669286787
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Entity Type | Individual
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Provider Name | BRIANNA KNOWLES
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Gender | Female
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Dates
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Enumeration Date | 02/07/2025
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Last Update Date | 02/07/2025
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Provider Practice Location Address
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Address Line | 601 SW 8TH AVE
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City | MIAMI
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State | FL
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Zip | 33130-3209
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Country | US
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Telephone | 305-856-2288
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Fax |
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Provider Business Mailing Address
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Address Line | 3167 NW 67TH CT
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City | FORT LAUDERDALE
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State | FL
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Zip | 33309-1203
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Country | US
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Telephone | 786-669-6266
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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 | 224ZL0004X
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Taxonomy Name | Low Vision Occupational Therapy Assistant
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License Number | 19485
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number | 19485
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License Number State | FL
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