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General NPI Number Information
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NPI Number | 1104809318
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Entity Type | Individual
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Provider Name | SHARI LYNN PRATER OCCUPATIONAL THERAP
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Gender | Female
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Dates
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Enumeration Date | 11/22/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 160 PIERCE ST
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City | GILROY
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State | CA
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Zip | 95020
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Country | US
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Telephone | 408-842-7616
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Fax | 408-842-5868
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Provider Business Mailing Address
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Address Line | PO BOX 612260
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City | SAN JOSE
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State | CA
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Zip | 95161
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Country | US
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Telephone | 877-325-2776
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Fax | 408-945-4011
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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 | OT163
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License Number State | CA
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