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General NPI Number Information
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NPI Number | 1922882679
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Entity Type | Individual
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Provider Name | SARA PATRICIA RESENDES OT
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Gender | Female
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Dates
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Enumeration Date | 08/23/2023
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Last Update Date | 08/23/2023
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Provider Practice Location Address
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Address Line | 14286 BEACH BLVD STE 19-222
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City | JACKSONVILLE
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State | FL
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Zip | 32250-1561
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Country | US
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Telephone | 904-450-5061
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Fax | 866-730-7983
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Provider Business Mailing Address
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Address Line | 1724 ORMOND RD
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City | JACKSONVILLE
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State | FL
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Zip | 32225-4440
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Country | US
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Telephone | 904-343-9729
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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 | OT18955
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License Number State | FL
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