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General NPI Number Information
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NPI Number | 1881512796
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Entity Type | Individual
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Provider Name | DELANEY ROSE LONG OTR/L
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Gender | Female
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Dates
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Enumeration Date | 07/08/2026
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Last Update Date | 07/08/2026
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Provider Practice Location Address
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Address Line | 1000 PARC HILL BLVD
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City | ORANGE CITY
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State | FL
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Zip | 32763-8111
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Country | US
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Telephone | 386-271-2658
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Fax |
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Provider Business Mailing Address
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Address Line | 310 TREGRE LANE
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City | THIBODAUX
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State | LA
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Zip | 70301
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Country | US
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Telephone | 985-414-8768
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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 | 225XP0019X
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Taxonomy Name | Physical Rehabilitation Occupational Therapist
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License Number | 352356
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License Number State | LA
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