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General NPI Number Information
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NPI Number | 1154136703
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Entity Type | Individual
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Provider Name | SARAH GONZALEZ DPT
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Gender | Female
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Dates
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Enumeration Date | 02/11/2025
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Last Update Date | 02/11/2025
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Provider Practice Location Address
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Address Line | 1353 E MAIN ST
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City | BROWNSBURG
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State | IN
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Zip | 46112-1433
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Country | US
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Telephone | 317-520-4748
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Fax |
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Provider Business Mailing Address
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Address Line | 6625 W 500 S
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City | JAMESTOWN
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State | IN
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Zip | 46147-9123
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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 | 2251P0200X
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Taxonomy Name | Pediatric Physical Therapist
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License Number | 05011485A
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License Number State | IN
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