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General NPI Number Information
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NPI Number | 1386442440
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Entity Type | Individual
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Provider Name | SARAH GUTIERREZ
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Gender | Female
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Dates
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Enumeration Date | 03/05/2025
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Last Update Date | 09/16/2025
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Provider Practice Location Address
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Address Line | 130 S 20TH ST
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City | PURCELLVILLE
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State | VA
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Zip | 20132-3301
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Country | US
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Telephone | 540-227-0390
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Fax |
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Provider Business Mailing Address
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Address Line | 12101 RICHLAND DR
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City | CATHARPIN
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State | VA
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Zip | 20143
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Country | US
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Telephone | 703-402-7172
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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 | 0119010771
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License Number State | VA
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