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General NPI Number Information
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NPI Number | 1720765498
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Entity Type | Individual
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Provider Name | SARAH MILBRODT O.T.
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Gender | Female
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Dates
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Enumeration Date | 07/03/2023
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Last Update Date | 08/15/2023
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Provider Practice Location Address
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Address Line | 3413 W PACIFIC AVE STE 200
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City | BURBANK
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State | CA
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Zip | 91505-1598
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Country | US
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Telephone | 818-841-3936
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Fax | 818-841-5974
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Provider Business Mailing Address
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Address Line | 1310 S CENTRAL AVE
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City | GLENDALE
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State | CA
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Zip | 91204-2506
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Country | US
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Telephone | 818-579-2366
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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 | 25231
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 225XH1200X
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Taxonomy Name | Hand Occupational Therapist
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License Number |
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License Number State |
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