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General NPI Number Information
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NPI Number | 1235400987
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Entity Type | Individual
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Provider Name | SARA SHARI WILLIAMSON MOTR/L, CLT
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Gender | Female
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Dates
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Enumeration Date | 01/25/2012
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Last Update Date | 05/14/2022
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Provider Practice Location Address
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Address Line | 618 ROAD 1
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City | TUPELO
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State | MS
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Zip | 38804-9790
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Country | US
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Telephone | 662-816-7797
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Fax |
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Provider Business Mailing Address
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Address Line | 618 ROAD 1
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City | TUPELO
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State | MS
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Zip | 38804-9790
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Country | US
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Telephone | 662-816-7797
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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 | 274913
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 2531
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License Number State | ME
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