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General NPI Number Information
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NPI Number | 1366673592
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Entity Type | Individual
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Provider Name | TINA J SULLIVAN OTR/L
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Gender | Female
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Dates
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Enumeration Date | 08/05/2009
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Last Update Date | 08/05/2009
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Provider Practice Location Address
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Address Line | 3314 PEARL ST.
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City | PORT LEYDEN
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State | NY
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Zip | 13433-0066
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Country | US
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Telephone | 315-348-8160
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Fax |
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Provider Business Mailing Address
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Address Line | 3314 PEARL STREET
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City | PORT LEYDEN
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State | NY
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Zip | 13433-0066
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Country | US
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Telephone | 315-348-8160
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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 | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number | 008117
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License Number State | NY
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