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General NPI Number Information
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NPI Number | 1033952197
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Entity Type | Individual
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Provider Name | SIERRA RENEE KACZOCHA
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Gender | Female
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Dates
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Enumeration Date | 06/17/2024
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Last Update Date | 10/13/2025
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Provider Practice Location Address
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Address Line | 1025 E BROADWAY RD STE 101
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City | TEMPE
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State | AZ
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Zip | 85282-1535
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Country | US
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Telephone | 623-692-8210
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Fax |
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Provider Business Mailing Address
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Address Line | 1025 E BROADWAY RD STE 101
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City | TEMPE
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State | AZ
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Zip | 85282-1535
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PTL.0020243
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | CP050081T
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License Number State | AZ
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