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General NPI Number Information
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NPI Number | 1356122402
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Entity Type | Individual
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Provider Name | SARAH GAUGER
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Gender | Female
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Dates
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Enumeration Date | 10/12/2023
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Last Update Date | 05/24/2024
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Provider Practice Location Address
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Address Line | 1431 WESTVIEW DR
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City | CORALVILLE
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State | IA
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Zip | 52241-1031
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Country | US
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Telephone | 816-832-1066
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Fax |
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Provider Business Mailing Address
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Address Line | 1121 SE BROWNFIELD DR
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City | LEES SUMMIT
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State | MO
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Zip | 64081-3009
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Country | US
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Telephone | 816-832-1066
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number |
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License Number State |
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