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General NPI Number Information
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NPI Number | 1487523734
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Entity Type | Individual
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Provider Name | SARAH MAUREEN WAGNER PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 11/04/2025
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Last Update Date | 11/04/2025
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Provider Practice Location Address
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Address Line | 400 W HIGHWAY 290 STE A
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City | DRIPPING SPRINGS
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State | TX
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Zip | 78620-4379
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Country | US
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Telephone | 512-964-1844
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Fax | 833-201-5490
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Provider Business Mailing Address
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Address Line | 316 SUMMER POINTE DR
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City | BUDA
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State | TX
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Zip | 78610-5908
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Country | US
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Telephone |
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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 | 1281017
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License Number State | TX
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