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General NPI Number Information
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NPI Number | 1619405446
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Entity Type | Individual
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Provider Name | SARAH NEAL PHILLIPS
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Gender | Female
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Dates
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Enumeration Date | 05/24/2017
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Last Update Date | 05/24/2017
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Provider Practice Location Address
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Address Line | 321 POPLAR DR
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City | PETERSBURG
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State | VA
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Zip | 23805-9306
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Country | US
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Telephone | 504-733-7233
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Fax |
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Provider Business Mailing Address
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Address Line | 116 SOUTHAMPTON RD
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City | FRANKLIN
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State | VA
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Zip | 23851-2726
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Country | US
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Telephone | 804-896-1541
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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 | 0119006203
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License Number State | VA
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