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General NPI Number Information
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NPI Number | 1669704656
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Entity Type | Individual
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Provider Name | LAUREN ELIZABETH SHARKEY OTR/L
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Gender | Female
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Dates
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Enumeration Date | 02/02/2010
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Last Update Date | 02/02/2010
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Provider Practice Location Address
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Address Line | 86 MOUNT HOPE AVE
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City | PROVIDENCE
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State | RI
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Zip | 02906-1648
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Country | US
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Telephone | 401-274-6310
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Fax |
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Provider Business Mailing Address
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Address Line | 76 BEAVER RIVER RD
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City | WEST KINGSTON
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State | RI
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Zip | 02892-1134
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Country | US
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Telephone | 401-274-6310
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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 | OT01224
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License Number State | RI
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