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General NPI Number Information
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NPI Number | 1760073571
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Entity Type | Individual
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Provider Name | BRENNA VALERO OTR/L
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Gender | Female
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Dates
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Enumeration Date | 02/03/2021
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Last Update Date | 06/05/2025
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Provider Practice Location Address
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Address Line | 2103 GILMORE ST
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City | JACKSONVILLE
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State | FL
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Zip | 32204-3211
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Country | US
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Telephone | 904-906-3878
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Fax |
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Provider Business Mailing Address
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Address Line | 5117 GREENWAY DR N
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City | JACKSONVILLE
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State | FL
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Zip | 32244-4603
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Country | US
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Telephone | 973-216-2602
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Fax | 352-241-6361
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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 | OT21578
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License Number State | FL
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