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General NPI Number Information
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NPI Number | 1821225285
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Entity Type | Individual
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Provider Name | JENNIFER SPRAGUE BARROW OTR/L, ATP
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Gender | Female
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Dates
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Enumeration Date | 06/12/2009
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Last Update Date | 06/30/2011
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Provider Practice Location Address
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Address Line | 12615 BRADY PLACE BLVD
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City | JACKSONVILLE
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State | FL
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Zip | 32223-2590
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Country | US
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Telephone | 904-755-1311
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Fax | 904-239-5984
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Provider Business Mailing Address
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Address Line | 6542 HECKSCHER DR
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City | JACKSONVILLE
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State | FL
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Zip | 32226-3226
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Country | US
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Telephone |
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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 | 0T4586
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License Number State | FL
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