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General NPI Number Information
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NPI Number | 1831882661
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Entity Type | Individual
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Provider Name | SALLY RANKIN OTR
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Gender | Female
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Dates
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Enumeration Date | 05/29/2023
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Last Update Date | 05/29/2023
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Provider Practice Location Address
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Address Line | 9381 US HIGHWAY 19 N
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City | PINELLAS PARK
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State | FL
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Zip | 33782-5410
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Country | US
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Telephone | 919-424-5080
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Fax |
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Provider Business Mailing Address
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Address Line | 7901 40TH AVE N LOT 94
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City | ST PETERSBURG
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State | FL
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Zip | 33709-4250
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Country | US
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Telephone | 317-445-4055
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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 | 24230
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License Number State | FL
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