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General NPI Number Information
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NPI Number | 1821138207
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Entity Type | Individual
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Provider Name | JENNIFER ANN FUNDERBURK OTRL
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Gender | Female
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Dates
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Enumeration Date | 02/07/2007
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Last Update Date | 08/30/2025
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Provider Practice Location Address
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Address Line | 9318 E COLONIAL DR SUITE B-3
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City | ORLANDO
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State | FL
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Zip | 32817-4100
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Country | US
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Telephone | 407-281-3803
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Fax |
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Provider Business Mailing Address
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Address Line | 3003 BARNHILL LN
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City | SUGAR LAND
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State | TX
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Zip | 77479-1877
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Country | US
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Telephone | 281-995-0571
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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 | OT 9558
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License Number State | FL
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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 | 112512
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License Number State | TX
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