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General NPI Number Information
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NPI Number | 1093680894
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Entity Type | Individual
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Provider Name | EMMA SULLIVAN
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Gender | Female
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Dates
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Enumeration Date | 10/09/2025
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Last Update Date | 10/24/2025
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Provider Practice Location Address
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Address Line | 6 PERRY AVE
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City | WARSAW
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State | NY
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Zip | 14569-1220
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Country | US
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Telephone | 585-786-8850
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Fax |
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Provider Business Mailing Address
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Address Line | 8155 STATE ROUTE 19
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City | BELFAST
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State | NY
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Zip | 14711-8716
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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