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General NPI Number Information
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NPI Number | 1982015541
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Entity Type | Individual
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Provider Name | CELINE FORTIN OTR/L
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Gender | Female
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Dates
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Enumeration Date | 05/16/2014
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Last Update Date | 05/16/2014
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Provider Practice Location Address
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Address Line | 9236 SE KARIN ST
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City | HOBE SOUND
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State | FL
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Zip | 33455-6914
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Country | US
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Telephone | 772-214-9777
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Fax |
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Provider Business Mailing Address
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Address Line | 9236 SE KARIN ST
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City | HOBE SOUND
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State | FL
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Zip | 33455-6914
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Country | US
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Telephone | 772-214-9777
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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 | 225XG0600X
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Taxonomy Name | Gerontology Occupational Therapist
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License Number | OT 5279
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License Number State | FL
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