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General NPI Number Information
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NPI Number | 1770053886
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Entity Type | Individual
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Provider Name | SABRINA CANEA KERR BS
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Gender | Female
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Dates
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Enumeration Date | 12/01/2018
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Last Update Date | 12/01/2018
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Provider Practice Location Address
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Address Line | 2602 NELSON AVE
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City | REDONDO BEACH
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State | CA
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Zip | 90278-2613
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Country | US
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Telephone | 310-658-3171
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Fax | 310-295-2402
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Provider Business Mailing Address
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Address Line | 120 36TH ST
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City | MANHATTAN BEACH
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State | CA
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Zip | 90266-3202
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Country | US
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Telephone | 310-658-3171
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Fax | 310-295-2402
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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 | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number | 3957
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License Number State | CA
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