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General NPI Number Information
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NPI Number | 1104442011
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Entity Type | Individual
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Provider Name | SARAH MACMILLAN TVEIT DPT
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Gender | Female
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Dates
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Enumeration Date | 06/17/2020
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Last Update Date | 10/24/2025
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Provider Practice Location Address
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Address Line | 30100 TOWNE CENTER DRIVE SUITE YZ
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City | LAGUNA NIGUEL
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State | CA
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Zip | 92677-2064
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Country | US
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Telephone | 949-597-0007
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Fax | 949-597-0040
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Provider Business Mailing Address
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Address Line | 21592 HIGH COUNTRY DR
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City | TRABUCO CANYON
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State | CA
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Zip | 92679-3470
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Country | US
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Telephone |
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Fax | 949-597-0040
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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 | PT297968
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License Number State | CA
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