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General NPI Number Information
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NPI Number | 1073472874
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Entity Type | Individual
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Provider Name | ELIZABETH ALENA SEDWICK
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Gender | Female
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Dates
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Enumeration Date | 01/17/2026
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Last Update Date | 01/17/2026
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Provider Practice Location Address
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Address Line | 501 WALL ST
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City | VALPARAISO
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State | IN
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Zip | 46383-2537
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Country | US
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Telephone | 317-960-4052
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Fax |
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Provider Business Mailing Address
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Address Line | 9502 W 141ST PL
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City | CEDAR LAKE
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State | IN
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Zip | 46303-9303
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Country | US
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Telephone | 219-671-4930
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State | IN
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