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General NPI Number Information
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NPI Number | 1225385610
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Entity Type | Individual
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Provider Name | SARAH SPENGLER COMPTON PT
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Gender | Female
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Dates
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Enumeration Date | 08/06/2012
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Last Update Date | 08/06/2012
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Provider Practice Location Address
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Address Line | 6506 LOISDALE RD
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City | SPRINGFIELD
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State | VA
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Zip | 22150-1824
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Country | US
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Telephone | 601-594-2475
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Fax |
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Provider Business Mailing Address
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Address Line | 4604 RALEIGH AVENUE APT 401
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City | ALEXANDRIA
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State | VA
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Zip | 22304
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Country | US
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Telephone | 601-594-2475
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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 | 2305207400
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License Number State | VA
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