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General NPI Number Information
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NPI Number | 1033253976
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Entity Type | Individual
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Provider Name | SARAH ELIZABETH WATSON MS, OTR/L, ATC/L
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Gender | Female
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Dates
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Enumeration Date | 02/16/2007
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Last Update Date | 01/18/2022
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Provider Practice Location Address
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Address Line | 555 SAINT JOSEPHS BLVD
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City | ELMIRA
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State | NY
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Zip | 14901-3223
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Country | US
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Telephone | 570-447-8799
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Fax |
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Provider Business Mailing Address
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Address Line | 555 SAINT JOSEPHS BLVD
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City | ELMIRA
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State | NY
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Zip | 14901-3223
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Country | US
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Telephone | 570-447-8799
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | 003306
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | RT003648
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OC018039
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License Number State | PA
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Taxonomy #4
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 026143-01
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License Number State | NY
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