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General NPI Number Information
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NPI Number | 1659989655
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Entity Type | Individual
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Provider Name | TERRI L SIKORSKI OTR/L
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Gender | Female
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Dates
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Enumeration Date | 07/16/2020
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Last Update Date | 07/16/2020
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Provider Practice Location Address
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Address Line | 1025 CRESTWAY DR
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City | ATHENS
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State | TN
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Zip | 37303-4152
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Country | US
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Telephone | 423-745-0608
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Fax |
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Provider Business Mailing Address
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Address Line | 206 COUNTY ROAD 757
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City | RICEVILLE
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State | TN
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Zip | 37370-5203
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Country | US
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Telephone | 423-599-3296
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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 | 4835
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License Number State | TN
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