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General NPI Number Information
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NPI Number | 1033573480
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Entity Type | Individual
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Provider Name | SARAH KANG OTR/L
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Gender | Female
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Dates
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Enumeration Date | 04/12/2016
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Last Update Date | 01/26/2024
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Provider Practice Location Address
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Address Line | 10604 N TRADEMARK PKWY STE 310
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City | RANCHO CUCAMONGA
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State | CA
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Zip | 91730-5938
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Country | US
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Telephone | 909-476-5747
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Fax |
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Provider Business Mailing Address
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Address Line | 1000 W 8TH ST APT 806
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City | LOS ANGELES
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State | CA
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Zip | 90017-5907
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Country | US
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Telephone | 213-435-4772
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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 | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | 15373
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License Number State | CA
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