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General NPI Number Information
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NPI Number | 1801046271
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Entity Type | Individual
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Provider Name | TARA DONOHUE STEBBINS O.T. R.
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Gender | Female
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Dates
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Enumeration Date | 09/23/2008
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Last Update Date | 10/11/2025
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Provider Practice Location Address
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Address Line | 10083 S FEDERAL HWY
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City | PORT ST LUCIE
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State | FL
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Zip | 34952-5607
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Country | US
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Telephone | 772-398-7678
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Fax | 772-398-7657
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Provider Business Mailing Address
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Address Line | 2082 SE ELLINGTON TER
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City | PORT ST LUCIE
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State | FL
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Zip | 34952-6915
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Country | US
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Telephone | 561-281-0443
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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 | OT11854
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License Number State | FL
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