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General NPI Number Information
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NPI Number | 1780116988
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Entity Type | Individual
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Provider Name | SARAH TAYLOR MSOTR/L
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Gender | Female
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Dates
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Enumeration Date | 03/28/2017
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Last Update Date | 03/28/2017
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Provider Practice Location Address
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Address Line | 106 GOVER ST
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City | SOMERSET
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State | KY
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Zip | 42501-3332
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Country | US
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Telephone | 606-679-8221
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Fax |
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Provider Business Mailing Address
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Address Line | 1907 GRIFFITH RIDGE RD
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City | LIBERTY
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State | KY
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Zip | 42539-7162
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Country | US
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Telephone | 606-706-8101
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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 | 172317
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License Number State | KY
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