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General NPI Number Information
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NPI Number | 1780001412
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Entity Type | Individual
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Provider Name | JUDITH ADKINSON
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Gender | Female
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Dates
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Enumeration Date | 03/19/2014
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Last Update Date | 03/19/2014
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Provider Practice Location Address
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Address Line | 3735 EVANS AVE
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City | FORT MYERS
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State | FL
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Zip | 33901-9302
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Country | US
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Telephone | 239-277-3211
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Fax |
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Provider Business Mailing Address
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Address Line | 1310 SW 9TH TER
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City | CAPE CORAL
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State | FL
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Zip | 33991-2186
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Country | US
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Telephone | 239-789-5033
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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 | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number | OTA13495
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License Number State | FL
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