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General NPI Number Information
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NPI Number | 1396273108
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Entity Type | Individual
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Provider Name | JENNIFER L SABO-BUNCH OTR/L
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Gender | Female
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Dates
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Enumeration Date | 05/24/2017
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Last Update Date | 02/07/2025
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Provider Practice Location Address
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Address Line | 3557 EMBASSY PKWY
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City | FAIRLAWN
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State | OH
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Zip | 44333-8358
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Country | US
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Telephone | 330-670-1005
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Fax |
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Provider Business Mailing Address
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Address Line | 626 ELEANORA DR
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City | CUYAHOGA FALLS
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State | OH
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Zip | 44223-2734
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Country | US
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Telephone | 330-958-4559
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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 | OT009759
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License Number State | OH
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