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General NPI Number Information
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NPI Number | 1407154685
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Entity Type | Individual
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Provider Name | LEDA LOUIE M SARMIENTO PT
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Gender | Female
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Dates
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Enumeration Date | 03/11/2011
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Last Update Date | 03/11/2011
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Provider Practice Location Address
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Address Line | 1420 SAINT MARYS CIR
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City | HOBART
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State | IN
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Zip | 46342-6561
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Country | US
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Telephone | 219-942-6826
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Fax | 219-942-6826
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Provider Business Mailing Address
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Address Line | 2222 SULLIVAN TRL
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City | EASTON
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State | PA
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Zip | 18040-7958
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Country | US
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Telephone | 610-991-2034
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Fax | 640-438-2046
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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 | 05009407A
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License Number State | IN
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