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General NPI Number Information
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NPI Number | 1861254682
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Entity Type | Individual
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Provider Name | PRISCA M HAYES OTR/L
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Gender | Female
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Dates
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Enumeration Date | 01/26/2024
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Last Update Date | 02/10/2026
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Provider Practice Location Address
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Address Line | 712 CHENEY HWY
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City | TITUSVILLE
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State | FL
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Zip | 32780-6959
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Country | US
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Telephone | 321-269-8155
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Fax |
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Provider Business Mailing Address
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Address Line | 299 MACON DR
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City | TITUSVILLE
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State | FL
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Zip | 32780-9104
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Country | US
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Telephone | 321-890-7698
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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 | 225XH1200X
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Taxonomy Name | Hand Occupational Therapist
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License Number | OT12972
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License Number State | FL
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