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NPI 1689867608

NPI 1689867608 : SARAH C DONLEY OTR/L : GLASSBORO, NJ

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General NPI Number Information
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    NPI Number           |    1689867608
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    Entity Type          |    Individual 
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    Provider Name        |    SARAH C DONLEY OTR/L
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/22/2007
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    Last Update Date     |    01/29/2020
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Provider Practice Location Address
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    Address Line         |    221 VICTORIA ST 
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    City                 |    GLASSBORO
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    State                |    NJ
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    Zip                  |    08028-2278
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    Country              |    US
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    Telephone            |    856-536-1475
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1 FEDERAL ST # 200 
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    City                 |    CAMDEN
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    State                |    NJ
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    Zip                  |    08103-1088
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    Country              |    US
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    Telephone            |    856-356-4924
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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       |    46TR00448500
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    License Number State |    NJ
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