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General NPI Number Information
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NPI Number | 1972938744
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Entity Type | Individual
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Provider Name | SHERYL YETTO TRAINOR MS, OTR/L
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Gender | Female
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Dates
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Enumeration Date | 09/11/2013
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Last Update Date | 09/11/2013
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Provider Practice Location Address
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Address Line | 3498 GREEN VALLEY RD
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City | RESCUE
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State | CA
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Zip | 95672-9625
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Country | US
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Telephone | 530-391-8670
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Fax | 888-538-0573
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Provider Business Mailing Address
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Address Line | 4030 CHESTNUT LN
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City | PLACERVILLE
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State | CA
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Zip | 95667-6736
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Country | US
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Telephone | 530-306-8487
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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 | 225XF0002X
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Taxonomy Name | Feeding, Eating & Swallowing 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 | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | 1082
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License Number State | CA
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