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General NPI Number Information
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NPI Number | 1396913513
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Entity Type | Individual
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Provider Name | SANDY HYUN O.T.R./L
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Gender | Female
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Dates
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Enumeration Date | 02/11/2008
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Last Update Date | 05/22/2008
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Provider Practice Location Address
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Address Line | 37411 EILAND BLVD
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City | ZEPHYRHILLS
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State | FL
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Zip | 33542-1800
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Country | US
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Telephone | 813-778-4898
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Fax | 813-355-4124
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Provider Business Mailing Address
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Address Line | 31615 MARCHESTER DR
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City | WESLEY CHAPEL
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State | FL
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Zip | 33543-5122
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Country | US
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Telephone | 813-355-4124
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Fax | 813-355-4124
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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 | 12805
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License Number State | FL
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