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General NPI Number Information
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NPI Number | 1184874992
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Entity Type | Individual
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Provider Name | SARA MICHELE PFEIFER
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Gender | Female
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Dates
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Enumeration Date | 09/29/2008
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Last Update Date | 04/08/2015
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Provider Practice Location Address
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Address Line | 1228 LORNEWOOD DR
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City | VALRICO
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State | FL
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Zip | 33596-7137
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Country | US
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Telephone | 317-679-8995
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Fax |
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Provider Business Mailing Address
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Address Line | 8318 NASHUA DR
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City | INDIANAPOLIS
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State | IN
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Zip | 46260-2749
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Country | US
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Telephone | 317-870-5798
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 06002292A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | PTA25478
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License Number State | FL
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