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NPI 1386186294

NPI 1386186294 : SARAH ELIZABETH STROBEL : MINNETONKA, MN

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General NPI Number Information
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    NPI Number           |    1386186294
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    Entity Type          |    Individual 
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    Provider Name        |    SARAH ELIZABETH STROBEL
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    11/08/2016
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    Last Update Date     |    04/01/2019
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Provider Practice Location Address
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    Address Line         |    5710 BAKER RD 
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    City                 |    MINNETONKA
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    State                |    MN
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    Zip                  |    55345-5901
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    Country              |    US
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    Telephone            |    612-210-8835
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2101 ROLLING GREEN LN 
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    City                 |    NORTH MANKATO
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    State                |    MN
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    Zip                  |    56003-4442
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    Country              |    US
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    Telephone            |    612-210-8835
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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        |    225X00000X
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    Taxonomy Name        |    Occupational Therapist
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    License Number       |    105269
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    License Number State |    MN
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Taxonomy #2
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    Taxonomy Code        |    225XP0200X
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    Taxonomy Name        |    Pediatric Occupational Therapist
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    License Number       |    105269
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    License Number State |    MN
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