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General NPI Number Information
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NPI Number | 1992834303
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Entity Type | Individual
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Provider Name | IRMA H M WITBREUK OTR
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Gender | Female
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Dates
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Enumeration Date | 03/02/2007
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Last Update Date | 12/04/2025
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Provider Practice Location Address
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Address Line | 10051 5TH ST N
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City | ST PETERSBURG
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State | FL
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Zip | 33702-2289
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Country | US
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Telephone | 727-527-5272
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Fax |
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Provider Business Mailing Address
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Address Line | 5901 E FOWLER AVE STE 100
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City | TEMPLE TERRACE
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State | FL
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Zip | 33617-2305
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Country | US
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Telephone | 813-978-9700
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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 | 225XH1200X
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Taxonomy Name | Hand Occupational Therapist
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License Number | OT 3619
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License Number State | FL
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