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General NPI Number Information
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NPI Number | 1831235803
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Entity Type | Individual
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Provider Name | JEFFREY J LEONBRUNO OCCUPATIONAL THERAPI
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Gender | Male
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Dates
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Enumeration Date | 01/29/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 685 S BROAD ST
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City | BROOKSVILLE
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State | FL
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Zip | 34601-2844
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Country | US
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Telephone | 352-754-9500
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Fax | 352-754-9533
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Provider Business Mailing Address
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Address Line | 2214 POMEROY RD
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City | SPRING HILL
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State | FL
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Zip | 34609-5040
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Country | US
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Telephone | 352-684-9931
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Fax | 352-754-9533
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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 | OT6536
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License Number State | FL
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