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General NPI Number Information
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NPI Number | 1932697679
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Entity Type | Individual
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Provider Name | DATHY-ANDELE ELIZE TOUSSAINT
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Gender | Female
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Dates
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Enumeration Date | 04/27/2018
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Last Update Date | 01/09/2025
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Provider Practice Location Address
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Address Line | 1705 17TH AVE
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City | VERO BEACH
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State | FL
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Zip | 32960-3641
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Country | US
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Telephone | 772-562-6877
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Fax |
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Provider Business Mailing Address
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Address Line | 1317 SE SANDIA DR
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City | PORT SAINT LUCIE
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State | FL
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Zip | 34983-3131
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Country | US
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Telephone | 954-515-2343
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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 | OT19097
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License Number State | FL
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