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General NPI Number Information
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NPI Number | 1154145522
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Entity Type | Individual
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Provider Name | KATHLEEN SAWYER
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Gender | Female
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Dates
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Enumeration Date | 11/13/2024
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Last Update Date | 11/13/2024
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Provider Practice Location Address
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Address Line | 5255 RAYMOND ST
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City | ORLANDO
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State | FL
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Zip | 32814-6974
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Country | US
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Telephone | 407-741-4614
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Fax |
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Provider Business Mailing Address
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Address Line | 473 CRUZ BAY CIR
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City | WINTER SPRINGS
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State | FL
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Zip | 32708-2737
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Country | US
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Telephone | 352-804-3449
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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 | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number | OTA9394
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License Number State | FL
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