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General NPI Number Information
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NPI Number | 1326597634
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Entity Type | Individual
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Provider Name | SARAH MARRICH MSOT, OTR/L
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Gender | Female
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Dates
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Enumeration Date | 09/27/2016
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Last Update Date | 10/06/2020
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Provider Practice Location Address
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Address Line | 12121 RANCHITOS RD NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87122-2320
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Country | US
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Telephone | 505-239-4097
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Fax |
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Provider Business Mailing Address
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Address Line | 12121 RANCHITOS RD NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87122-2320
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Country | US
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Telephone | 505-239-4097
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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 | OT16505
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License Number State | CA
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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 | 3842
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License Number State | NM
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