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General NPI Number Information
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NPI Number | 1518154442
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Entity Type | Individual
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Provider Name | SARAH M WARD OTR/L
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Gender | Female
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Dates
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Enumeration Date | 09/25/2007
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Last Update Date | 10/09/2007
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Provider Practice Location Address
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Address Line | 1230 JOHNSON FERRY PL SUITE I-20
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City | MARIETTA
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State | GA
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Zip | 30068-2048
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Country | US
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Telephone | 770-321-6705
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Fax | 770-650-0068
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Provider Business Mailing Address
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Address Line | 4133 BARBERRY DR NE
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City | ROSWELL
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State | GA
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Zip | 30075-2644
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Country | US
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Telephone | 404-202-5038
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Fax | 770-650-0068
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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 | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | OT003026
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License Number State | GA
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