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NPI 1326269143

NPI 1326269143 : SARAH DENEE GRAFF : LOVELAND, CO

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General NPI Number Information
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    NPI Number           |    1326269143
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    Entity Type          |    Individual 
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    Provider Name        |    SARAH DENEE GRAFF
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/01/2007
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    Last Update Date     |    08/12/2011
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Provider Practice Location Address
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    Address Line         |    2101 S GARFIELD AVE 
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    City                 |    LOVELAND
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    State                |    CO
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    Zip                  |    80537-7377
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    Country              |    US
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    Telephone            |    970-669-3100
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    3621 HIGGINS ST 
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    City                 |    LOVELAND
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    State                |    CO
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    Zip                  |    80538-4958
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    Country              |    US
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    Telephone            |    970-916-8358
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    Fax                  |    970-916-8358
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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        |    174400000X
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    Taxonomy Name        |    Specialist
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    License Number       |    1136000
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    License Number State |    TX
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Taxonomy #2
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    9967
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    License Number State |    CO
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