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General NPI Number Information
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NPI Number | 1215130281
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Entity Type | Individual
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Provider Name | SHERI L DECKER OCCUPATIONAL THERAPI
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Gender | Female
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Dates
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Enumeration Date | 06/07/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 19525 W NORTH AVE FRANCISCAN WOODS
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City | BROOKFIELD
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State | WI
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Zip | 53045
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Country | US
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Telephone | 262-785-1114
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Fax | 262-780-3805
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Provider Business Mailing Address
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Address Line | 1220 MUKWONAGO DRIVE
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City | MUKWONAGO
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State | WI
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Zip | 53149
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Country | US
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Telephone | 414-793-1020
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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 | 3972026
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License Number State | WI
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