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General NPI Number Information
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NPI Number | 1275736027
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Entity Type | Individual
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Provider Name | ANNA SAPALEV
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Gender | Female
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Dates
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Enumeration Date | 06/08/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 110 SUMMIT HILLS DR
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City | SPARTANBURG
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State | SC
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Zip | 29307-1532
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Country | US
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Telephone | 864-582-5561
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Fax |
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Provider Business Mailing Address
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Address Line | 232 HILLCREST MANOR CT APT D
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City | UTICA
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State | NY
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Zip | 13501-6021
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 006598-1
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License Number State | NY
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