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General NPI Number Information
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NPI Number | 1982590527
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Entity Type | Individual
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Provider Name | NANCY BRIAN OTR/L
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Gender | Female
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Dates
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Enumeration Date | 06/17/2025
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Last Update Date | 06/18/2025
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Provider Practice Location Address
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Address Line | 5300 SW 91ST TER
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City | GAINESVILLE
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State | FL
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Zip | 32608-8308
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Country | US
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Telephone | 352-234-5673
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Fax |
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Provider Business Mailing Address
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Address Line | 4115 SW 298TH ST
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City | NEWBERRY
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State | FL
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Zip | 32669-4379
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Country | US
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Telephone | 352-234-5673
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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 | OT26258
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License Number State | FL
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