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General NPI Number Information
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NPI Number | 1942063631
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Entity Type | Individual
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Provider Name | SARAH MANSFIELD OTR
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Gender | Female
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Dates
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Enumeration Date | 02/05/2024
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Last Update Date | 01/07/2025
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Provider Practice Location Address
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Address Line | 11133 INTERSTATE 45 S STE 190
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City | CONROE
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State | TX
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Zip | 77302-5834
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Country | US
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Telephone | 369-494-0570
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Fax | 936-494-0571
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Provider Business Mailing Address
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Address Line | 15 BEACH RD
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City | MASSAPEQUA
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State | NY
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Zip | 11758-6614
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Country | US
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Telephone |
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 124567
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License Number State | TX
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