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General NPI Number Information
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NPI Number | 1376648436
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Entity Type | Individual
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Provider Name | SEAN DARL KERR OTR/L
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Gender | Male
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Dates
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Enumeration Date | 09/14/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1110 E HALLANDALE BEACH BLVD
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City | HALLANDALE BEACH
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State | FL
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Zip | 33009-4432
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Country | US
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Telephone | 954-454-7575
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Fax | 954-454-8288
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Provider Business Mailing Address
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Address Line | 1915 SW 82ND AVE
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City | DAVIE
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State | FL
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Zip | 33324-5427
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Country | US
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Telephone | 954-336-1295
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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 | 225XH1200X
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Taxonomy Name | Hand Occupational Therapist
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License Number | OT 6268
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License Number State | FL
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