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General NPI Number Information
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NPI Number | 1487906517
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Entity Type | Individual
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Provider Name | SARAH-GRACE HARBERT AUTH DPT
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Gender | Female
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Dates
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Enumeration Date | 10/13/2012
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Last Update Date | 04/01/2022
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Provider Practice Location Address
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Address Line | 1201 W BOYD ST
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City | NORMAN
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State | OK
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Zip | 73069-4801
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Country | US
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Telephone | 405-366-7898
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Fax |
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Provider Business Mailing Address
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Address Line | 304 SW 172ND CIR
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City | OKLAHOMA CITY
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State | OK
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Zip | 73170-6651
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Country | US
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Telephone | 909-838-9719
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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 | 24198
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 108000
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License Number State | OK
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 1240819
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License Number State | TX
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