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Individual
DOUGLAS FAAS
Active
Individual
DOUGLAS FAAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT 17824
Taxonomy
Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Primary
OT17824
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123456789
—
FL
Enumeration date
03/09/2021
Last updated
03/09/2021
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