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General NPI Number Information
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NPI Number | 1891555066
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Entity Type | Individual
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Provider Name | JEANNE MCTERNAN M.A., OTR/L
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Gender | Female
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Dates
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Enumeration Date | 03/22/2024
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Last Update Date | 03/22/2024
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Provider Practice Location Address
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Address Line | 11810 S MILITARY TRL
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City | BOYNTON BEACH
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State | FL
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Zip | 33436-5575
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Country | US
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Telephone | 561-302-4362
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Fax |
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Provider Business Mailing Address
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Address Line | 402 SW 28TH AVE
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City | DELRAY BEACH
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State | FL
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Zip | 33445-4408
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Country | US
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Telephone | 561-302-4362
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OT9801
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License Number State | FL
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