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General NPI Number Information
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NPI Number | 1952748428
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Entity Type | Individual
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Provider Name | SEAN TAYLOR YARBROUGH OTR/L
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Gender | Male
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Dates
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Enumeration Date | 05/23/2013
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Last Update Date | 04/21/2014
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Provider Practice Location Address
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Address Line | 2076 SHADOW PINE DR
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City | BRANDON
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State | FL
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Zip | 33511-8362
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Country | US
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Telephone | 727-417-0216
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Fax |
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Provider Business Mailing Address
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Address Line | 2076 SHADOW PINE DR
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City | BRANDON
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State | FL
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Zip | 33511-8362
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Country | US
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Telephone | 727-417-0216
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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 | 225XR0403X
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Taxonomy Name | Driving and Community Mobility Occupational Therapist
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License Number | OT10856
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 225XN1300X
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Taxonomy Name | Neurorehabilitation Occupational Therapist
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License Number | OT10856
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License Number State | FL
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