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General NPI Number Information
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NPI Number | 1881410959
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Entity Type | Individual
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Provider Name | SARAH DAVIS 0TD
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Gender | Female
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Dates
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Enumeration Date | 11/22/2024
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Last Update Date | 11/22/2024
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Provider Practice Location Address
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Address Line | 2211 LYELL AVE STE 102
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City | ROCHESTER
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State | NY
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Zip | 14606-5743
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Country | US
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Telephone | 585-563-6060
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Fax |
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Provider Business Mailing Address
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Address Line | 3895 WESTSIDE DR
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City | CHURCHVILLE
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State | NY
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Zip | 14428-9775
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Country | US
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Telephone | 585-953-8109
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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 | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | 029581
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License Number State | NY
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