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General NPI Number Information
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NPI Number | 1457124844
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Entity Type | Individual
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Provider Name | SYDNEY ELIZABETH DENNIS OTD, OT/L
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Gender | Female
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Dates
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Enumeration Date | 11/07/2023
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Last Update Date | 11/07/2023
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Provider Practice Location Address
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Address Line | 16400 BLANCO RD
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City | SAN ANTONIO
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State | TX
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Zip | 78232-1902
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Country | US
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Telephone | 210-572-4954
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Fax | 210-699-7995
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Provider Business Mailing Address
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Address Line | 817 FLAT ROCK
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City | SEGUIN
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State | TX
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Zip | 78155-3160
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Country | US
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Telephone | 281-546-5010
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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 | 124178
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License Number State | TX
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