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General NPI Number Information
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NPI Number | 1336075134
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Entity Type | Individual
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Provider Name | SARAH NICOLE HARTIG OTD, OTR/L
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Gender | Female
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Dates
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Enumeration Date | 06/19/2026
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Last Update Date | 06/19/2026
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Provider Practice Location Address
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Address Line | 8950 LORRAINE RD STE C
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City | GULFPORT
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State | MS
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Zip | 39503-4183
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Country | US
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Telephone | 228-355-9946
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Fax | 228-206-1370
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Provider Business Mailing Address
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Address Line | 1850 POPPS FERRY RD APT U2110
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City | BILOXI
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State | MS
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Zip | 39532-2053
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Country | US
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Telephone |
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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 | OT-4336
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License Number State | MS
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