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NPI 1144325135

NPI 1144325135 : SUNDAY S. SANDERS O.T. : COLUMBUS, GA

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General NPI Number Information
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    NPI Number           |    1144325135
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    Entity Type          |    Individual 
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    Provider Name        |    SUNDAY S. SANDERS O.T.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    09/14/2006
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    6298 VETERANS PKWY SUITE 5A
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    City                 |    COLUMBUS
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    State                |    GA
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    Zip                  |    31909-6258
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    Country              |    US
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    Telephone            |    706-322-7762
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    Fax                  |    706-571-1654
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Provider Business Mailing Address
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    Address Line         |    6298 VETERANS PKWY SUITE 5A
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    City                 |    COLUMBUS
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    State                |    GA
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    Zip                  |    31909-6258
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    Country              |    US
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    Telephone            |    706-322-7762
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    Fax                  |    706-571-1654
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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       |    OT003473
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    License Number State |    GA
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