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General NPI Number Information
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NPI Number | 1538716030
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Entity Type | Individual
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Provider Name | SARAH MYERS
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Gender | Female
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Dates
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Enumeration Date | 08/20/2019
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Last Update Date | 08/20/2019
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Provider Practice Location Address
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Address Line | 15201 OLIVE BLVD
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City | CHESTERFIELD
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State | MO
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Zip | 63017-1810
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Country | US
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Telephone | 636-532-1515
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Fax |
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Provider Business Mailing Address
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Address Line | 527 MIRA VILLA DR
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City | SAINT PETERS
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State | MO
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Zip | 63376-7618
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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 | 2013004055
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License Number State | MO
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