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General NPI Number Information
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NPI Number | 1336385343
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Entity Type | Individual
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Provider Name | SARAH ANN WELDON PTA
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Gender | Female
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Dates
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Enumeration Date | 12/22/2008
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Last Update Date | 12/22/2008
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Provider Practice Location Address
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Address Line | 36488 S HIGHWAY 82
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City | VINITA
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State | OK
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Zip | 74301-7438
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Country | US
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Telephone | 918-256-0381
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Fax |
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Provider Business Mailing Address
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Address Line | 65724 E 160 RD
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City | WYANDOTTE
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State | OK
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Zip | 74370-2337
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Country | US
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Telephone | 918-678-2445
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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 | 1738
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License Number State | OK
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