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General NPI Number Information
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NPI Number | 1164817508
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Entity Type | Individual
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Provider Name | SHERRI LYNN BROWN OTR/L
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Gender | Female
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Dates
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Enumeration Date | 04/02/2015
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Last Update Date | 04/02/2015
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Provider Practice Location Address
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Address Line | 339 CENTRAL DR
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City | BRISTOL
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State | TN
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Zip | 37620-4714
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Country | US
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Telephone | 423-502-4153
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Fax |
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Provider Business Mailing Address
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Address Line | 21 MARQUETTE AVE
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City | NORTH YORK
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State | ONTARIO
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Zip | M6A 1X8
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Country | CA
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Telephone | 423-502-4153
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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 | 019614
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License Number State | NY
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