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General NPI Number Information
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NPI Number | 1699673830
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Entity Type | Individual
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Provider Name | REBEKAH NICOLE TRAMMELL
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Gender | Female
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Dates
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Enumeration Date | 10/28/2026
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Last Update Date | 10/28/2026
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Provider Practice Location Address
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Address Line | 11595 BURNT MILL RD
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City | JACKSONVILLE
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State | FL
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Zip | 32256-3096
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Country | US
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Telephone | 904-596-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 1025 W TERRANOVA WAY
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City | ST AUGUSTINE
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State | FL
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Zip | 32092-0467
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Country | US
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Telephone | 404-988-6715
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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 | OT27639
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License Number State | FL
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