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General NPI Number Information
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NPI Number | 1801150065
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Entity Type | Individual
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Provider Name | DEVON SCHAUB OT
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Gender | Female
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Dates
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Enumeration Date | 07/02/2012
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Last Update Date | 05/29/2024
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Provider Practice Location Address
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Address Line | 330 AVENUE C SE
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City | WINTER HAVEN
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State | FL
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Zip | 33880-3243
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Country | US
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Telephone | 863-268-2930
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Fax |
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Provider Business Mailing Address
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Address Line | 1472 KEY LIME CIR APT 303
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City | AUBURNDALE
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State | FL
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Zip | 33823-5756
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Country | US
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Telephone | 863-258-5688
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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 | 056007170
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OT23449
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License Number State | FL
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