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General NPI Number Information
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NPI Number | 1891097523
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Entity Type | Individual
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Provider Name | DADLYNN EXAVIER OTR
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Gender | Female
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Dates
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Enumeration Date | 12/01/2010
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Last Update Date | 08/05/2024
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Provider Practice Location Address
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Address Line | 2341 W NORVELL BRYANT HWY
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City | LECANTO
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State | FL
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Zip | 34461-9438
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Country | US
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Telephone | 904-716-6913
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Fax |
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Provider Business Mailing Address
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Address Line | 4820 N EL CAMINO DR
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City | BEVERLY HILLS
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State | FL
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Zip | 34465-8759
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Country | US
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Telephone | 904-716-6913
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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 | 19801
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License Number State | FL
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