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NPI 1306752571

NPI 1306752571 : ESTELLA CAROLYNN SEHRT : LEWISTON, ID

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General NPI Number Information
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    NPI Number           |    1306752571
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    Entity Type          |    Individual 
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    Provider Name        |    ESTELLA CAROLYNN SEHRT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/19/2026
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    Last Update Date     |    08/19/2026
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Provider Practice Location Address
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    Address Line         |    678 SOUTHWAY AVE 
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    City                 |    LEWISTON
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    State                |    ID
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    Zip                  |    83501-3783
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    Country              |    US
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    Telephone            |    208-746-1418
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    114 1/2 N 3RD ST APT 5 
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    City                 |    GRAND FORKS
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    State                |    ND
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    Zip                  |    58203-3731
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    Country              |    US
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    Telephone            |    701-317-5005
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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       |    1385A
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    License Number State |    ND
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