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General NPI Number Information
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NPI Number | 1003724675
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Entity Type | Individual
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Provider Name | MRS. SHERI JANE DEWAR
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Gender | Female
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Dates
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Enumeration Date | 09/01/2026
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Last Update Date | 09/01/2026
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Provider Practice Location Address
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Address Line | 506 BEAVER DAM ST
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City | WAUPUN
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State | WI
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Zip | 53963-1800
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Country | US
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Telephone | 920-324-3361
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Fax |
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Provider Business Mailing Address
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Address Line | 14 DEER PATH CT
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City | WAUPUN
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State | WI
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Zip | 53963-1081
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Country | US
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Telephone | 920-324-3361
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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 | 4474
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License Number State | WI
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