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General NPI Number Information
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NPI Number | 1174017412
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Entity Type | Individual
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Provider Name | SARAH J CASTRELLON OTR/L
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Gender | Female
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Dates
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Enumeration Date | 06/20/2018
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Last Update Date | 06/20/2018
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Provider Practice Location Address
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Address Line | 3900 JERMANTOWN RD
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City | FAIRFAX
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State | VA
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Zip | 22030-4900
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Country | US
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Telephone | 703-910-5006
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Fax | 888-314-6706
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Provider Business Mailing Address
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Address Line | 24846 SOMERBY DR
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City | CHANTILLY
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State | VA
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Zip | 20152-5952
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Country | US
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Telephone | 703-989-0237
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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 | 0119005068
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License Number State | VA
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