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General NPI Number Information
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NPI Number | 1013395383
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Entity Type | Individual
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Provider Name | SARAH LIFER
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Gender | Female
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Dates
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Enumeration Date | 05/07/2015
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Last Update Date | 05/07/2015
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Provider Practice Location Address
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Address Line | 335 STILLWATER AVE
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City | BANGOR
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State | ME
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Zip | 04401-3944
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Country | US
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Telephone | 207-290-1482
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Fax |
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Provider Business Mailing Address
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Address Line | 16 SPAULDING LN
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City | BREWER
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State | ME
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Zip | 04412-1366
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Country | US
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Telephone |
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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 | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number | OA2576
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License Number State | ME
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