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NPI 1417069717

NPI 1417069717 : FARIDA M SAKERWALLA OT : CYPRESS, TX

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General NPI Number Information
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    NPI Number           |    1417069717
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    Entity Type          |    Individual 
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    Provider Name        |    FARIDA M SAKERWALLA OT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/31/2006
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    13611 SKINNER RD SUITE # 160
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    City                 |    CYPRESS
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    State                |    TX
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    Zip                  |    77429
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    Country              |    US
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    Telephone            |    832-640-1042
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    17151 MOUNTAIN CREST DR 
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    City                 |    SPRING
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    State                |    TX
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    Zip                  |    77379-2311
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    Country              |    US
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    Telephone            |    281-655-8305
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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       |    105819
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    License Number State |    TX
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