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NPI 1063193266

NPI 1063193266 : SARAH SAJEWSKI PT, DPT : BOLINGBROOK, IL

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General NPI Number Information
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    NPI Number           |    1063193266
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    Entity Type          |    Individual 
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    Provider Name        |    SARAH SAJEWSKI PT, DPT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/31/2023
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    Last Update Date     |    07/31/2023
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Provider Practice Location Address
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    Address Line         |    396 REMINGTON BLVD 
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    City                 |    BOLINGBROOK
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    State                |    IL
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    Zip                  |    60440-4302
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    Country              |    US
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    Telephone            |    630-312-5901
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    396 REMINGTON BLVD 
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    City                 |    BOLINGBROOK
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    State                |    IL
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    Zip                  |    60440-4302
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    Country              |    US
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    Telephone            |    630-312-5901
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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       |    070.027144
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    License Number State |    IL
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