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General NPI Number Information
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NPI Number | 1376970640
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Entity Type | Individual
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Provider Name | DEBORAH ANN SUNKEL
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Gender | Female
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Dates
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Enumeration Date | 10/02/2013
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Last Update Date | 10/02/2013
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Provider Practice Location Address
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Address Line | 2050 S MAIN ST
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City | DELTA
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State | CO
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Zip | 81416-2407
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Country | US
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Telephone | 970-874-9773
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Fax |
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Provider Business Mailing Address
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Address Line | 2685 IRIS CT
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City | MONTROSE
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State | CO
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Zip | 81401-7486
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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.0003678
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License Number State | CO
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