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General NPI Number Information
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NPI Number | 1629340294
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Entity Type | Individual
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Provider Name | SARAH R EPPERSON
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Gender | Female
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Dates
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Enumeration Date | 01/30/2012
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Last Update Date | 07/06/2012
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Provider Practice Location Address
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Address Line | 1507 N TUTTLE AVE
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City | SARASOTA
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State | FL
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Zip | 34237-3130
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Country | US
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Telephone | 941-366-0336
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Fax |
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Provider Business Mailing Address
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Address Line | 1507 TUTTLE RD
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City | SARASOTA
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State | FL
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Zip | 34234
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Country | US
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Telephone | 941-366-0336
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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 | OT12831
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 1455
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License Number State | NM
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