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General NPI Number Information
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NPI Number | 1568648848
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Entity Type | Individual
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Provider Name | SARAH IMELDA SANDOVAL OTR/L, MA
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Gender | Female
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Dates
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Enumeration Date | 01/16/2008
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Last Update Date | 10/31/2025
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Provider Practice Location Address
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Address Line | 14145 N 92ND ST UNIT 2100
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City | SCOTTSDALE
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State | AZ
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Zip | 85260-3717
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Country | US
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Telephone | 402-321-6881
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Fax |
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Provider Business Mailing Address
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Address Line | 17104 PIERCE ST
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City | OMAHA
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State | NE
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Zip | 68130-1027
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Country | US
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Telephone | 402-321-6881
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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 | OT 8090
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 133N00000X
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Taxonomy Name | Nutritionist
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License Number | 19177
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License Number State | AZ
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