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General NPI Number Information
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NPI Number | 1962935452
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Entity Type | Organization
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Legal Business Name | SHARYN TRAPP
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Dates
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Enumeration Date | 04/11/2017
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Last Update Date | 04/11/2017
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Provider Practice Location Address
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Address Line | 1820 N WESTMORELAND DR
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City | ORLANDO
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State | FL
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Zip | 32804-5738
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Country | US
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Telephone | 321-695-9134
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Fax |
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Provider Business Mailing Address
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Address Line | 1820 N WESTMORELAND DR
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City | ORLANDO
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State | FL
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Zip | 32804-5738
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Country | US
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Telephone | 321-695-9134
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Fax |
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Authorized Official
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Title or Position | PTA
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Name | MRS. SHARYN LYNN TRAPP
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Credential | PTA
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Telephone | 407-920-9063
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320700000X
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Taxonomy Name | Physical Disabilities Residential Treatment Facility
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License Number | PTA27175
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License Number State | FL
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