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General NPI Number Information
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NPI Number | 1093578379
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Entity Type | Individual
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Provider Name | SARAH YODER OTR/L
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Gender | Female
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Dates
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Enumeration Date | 01/31/2024
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Last Update Date | 01/31/2024
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Provider Practice Location Address
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Address Line | 2222 COLTS NECK RD
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City | RESTON
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State | VA
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Zip | 20191-2843
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Country | US
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Telephone | 703-429-1130
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Fax |
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Provider Business Mailing Address
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Address Line | 6613 BENSON DR
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City | ALEXANDRIA
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State | VA
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Zip | 22306-1302
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Country | US
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Telephone | 571-437-4188
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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 | OT18555
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 0119010155
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License Number State | VA
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