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General NPI Number Information
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NPI Number | 1053820423
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Entity Type | Individual
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Provider Name | SARAH ANNE TAYLOR OTR/L
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Gender | Female
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Dates
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Enumeration Date | 09/28/2017
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Last Update Date | 03/11/2025
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Provider Practice Location Address
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Address Line | 379 PINEHAVEN STREET EXT
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City | LAURENS
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State | SC
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Zip | 29360-2672
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Country | US
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Telephone | 864-984-6584
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Fax | 864-984-6464
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Provider Business Mailing Address
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Address Line | 1556 HARBORSUN DR
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City | CHARLESTON
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State | SC
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Zip | 29412-8272
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Country | US
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Telephone | 803-730-5287
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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 | 5076
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License Number State | SC
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