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General NPI Number Information
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NPI Number | 1639492572
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Entity Type | Individual
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Provider Name | SHARON K. QUIGLEY O.T.R.
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Gender | Female
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Dates
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Enumeration Date | 03/07/2010
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Last Update Date | 03/16/2010
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Provider Practice Location Address
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Address Line | 5211 SW 91ST TER
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City | GAINESVILLE
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State | FL
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Zip | 32608-8128
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Country | US
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Telephone | 877-211-5847
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Fax |
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Provider Business Mailing Address
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Address Line | 9623 SW 53RD RD
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City | GAINESVILLE
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State | FL
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Zip | 32608-4344
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Country | US
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Telephone | 352-375-2388
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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 | 3470
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License Number State | FL
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