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General NPI Number Information
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NPI Number | 1407662505
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Entity Type | Individual
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Provider Name | SARITA LINDA CAVAZOS PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 12/04/2024
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Last Update Date | 12/04/2024
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Provider Practice Location Address
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Address Line | 403 N JACKSON RD
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City | PHARR
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State | TX
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Zip | 78577-2112
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Country | US
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Telephone | 956-429-3866
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Fax |
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Provider Business Mailing Address
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Address Line | 1024 N ABBEY AVE UNIT D
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City | EDINBURG
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State | TX
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Zip | 78541-1191
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Country | US
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Telephone | 830-570-2262
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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 | 1377085
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License Number State | TX
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