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General NPI Number Information
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NPI Number | 1437574837
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Entity Type | Individual
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Provider Name | SARAH CALLAHAN PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 02/22/2014
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Last Update Date | 02/22/2014
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Provider Practice Location Address
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Address Line | 9611 BROOKDALE DR SUITE 100-122
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City | CHARLOTTE
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State | NC
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Zip | 28215-8719
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Country | US
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Telephone | 704-807-5699
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Fax | 704-631-4574
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Provider Business Mailing Address
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Address Line | 201 W MARION ST SUITE 306
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City | SHELBY
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State | NC
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Zip | 28150-5091
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Country | US
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Telephone | 704-807-5699
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Fax | 704-631-4574
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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 | 14704
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 2251P0200X
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Taxonomy Name | Pediatric Physical Therapist
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License Number | 14704
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License Number State | NC
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