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NPI 1326551458

NPI 1326551458 : SARAH WASHINGTON MHA, LAT, ATC, CSCS : ALEDO, TX

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General NPI Number Information
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    NPI Number           |    1326551458
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    Entity Type          |    Individual 
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    Provider Name        |    SARAH WASHINGTON MHA, LAT, ATC, CSCS
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    11/11/2017
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    Last Update Date     |    07/25/2025
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Provider Practice Location Address
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    Address Line         |    13340 HIGHLAND HILLS DR 
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    City                 |    ALEDO
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    State                |    TX
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    Zip                  |    76008-2000
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    Country              |    US
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    Telephone            |    682-303-3881
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    13340 HIGHLAND HILLS DR 
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    City                 |    ALEDO
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    State                |    TX
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    Zip                  |    76008-2000
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    Country              |    US
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    Telephone            |    682-303-3881
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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        |    225400000X
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    Taxonomy Name        |    Rehabilitation Practitioner
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    2255A2300X
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    Taxonomy Name        |    Athletic Trainer
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    License Number       |    AT5593
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    License Number State |    TX
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