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General NPI Number Information
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NPI Number | 1396744553
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Entity Type | Individual
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Provider Name | SANDRA SUE HOPP-EDWARDS P.T/OWNER
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Gender | Female
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Dates
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Enumeration Date | 07/20/2005
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Last Update Date | 12/06/2012
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Provider Practice Location Address
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Address Line | 1015 S MAIN ST
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City | MCPHERSON
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State | KS
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Zip | 67460-5735
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Country | US
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Telephone | 620-241-1825
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Fax |
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Provider Business Mailing Address
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Address Line | 2378 8TH AVENUE, BOX 187
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City | MARQUETTE
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State | KS
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Zip | 67464-8843
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Country | US
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Telephone | 785-227-2533
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 11-00549
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License Number State | KS
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