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General NPI Number Information
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NPI Number | 1083776447
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Entity Type | Individual
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Provider Name | SANDRA K. HUFFMAN LPT
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Gender | Female
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Dates
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Enumeration Date | 12/14/2006
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Last Update Date | 10/26/2022
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Provider Practice Location Address
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Address Line | 410 N DIXIE HWY
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City | WAPAKONETA
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State | OH
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Zip | 45895-7757
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Country | US
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Telephone | 419-738-9675
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Fax | 567-356-4334
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Provider Business Mailing Address
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Address Line | PO BOX 101
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City | WAPAKONETA
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State | OH
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Zip | 45895-0101
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Country | US
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Telephone | 419-738-9675
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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 | PT-03724
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License Number State | OH
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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 | 003724
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License Number State | OH
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