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General NPI Number Information
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NPI Number | 1609351741
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Entity Type | Individual
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Provider Name | SARA HELEN TERWILLIGER OTR/L
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Gender | Female
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Dates
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Enumeration Date | 09/25/2018
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Last Update Date | 09/25/2018
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Provider Practice Location Address
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Address Line | 65 SHENANDOAH AVE STE 201
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City | DALEVILLE
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State | VA
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Zip | 24083-3205
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Country | US
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Telephone | 540-591-7514
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Fax |
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Provider Business Mailing Address
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Address Line | 5646 GREEN MEADOW RD
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City | ROANOKE
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State | VA
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Zip | 24018-3228
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Country | US
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Telephone | 540-312-7714
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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 | 0119007657
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License Number State | VA
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