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General NPI Number Information
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NPI Number | 1528545902
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Entity Type | Individual
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Provider Name | SARA CHERNE
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Gender | Female
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Dates
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Enumeration Date | 07/27/2018
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Last Update Date | 07/27/2018
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Provider Practice Location Address
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Address Line | 1315 N WEST ST
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City | WICHITA
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State | KS
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Zip | 67203-4400
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Country | US
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Telephone | 316-494-7017
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Fax | 316-943-1264
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Provider Business Mailing Address
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Address Line | 2317 E GARY ST
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City | PARK CITY
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State | KS
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Zip | 67219-1749
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Country | US
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Telephone | 620-388-3475
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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 | 18-01384
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License Number State | KS
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