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General NPI Number Information
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NPI Number | 1225155146
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Entity Type | Individual
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Provider Name | MANDI LYNN SONNENFELD PHD, OTR/L
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Gender | Female
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Dates
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Enumeration Date | 03/24/2007
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Last Update Date | 10/21/2022
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Provider Practice Location Address
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Address Line | 301 UNIVERSITY BLVD
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City | GALVESTON
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State | TX
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Zip | 77555-3302
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Country | US
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Telephone | 409-772-2222
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Fax |
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Provider Business Mailing Address
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Address Line | 3020 BERNADINO DR
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City | LA MARQUE
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State | TX
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Zip | 77568-2532
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Country | US
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Telephone | 832-499-6224
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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 | 110975
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License Number State | TX
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