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General NPI Number Information
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NPI Number | 1548707474
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Entity Type | Individual
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Provider Name | SARAH KATHERINE SMITH PANDL DPT
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Gender | Female
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Dates
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Enumeration Date | 01/30/2017
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Last Update Date | 10/23/2024
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Provider Practice Location Address
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Address Line | 8214 F ST STE C
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City | OMAHA
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State | NE
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Zip | 68127-1740
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Country | US
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Telephone | 402-331-2273
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Fax | 402-933-4255
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Provider Business Mailing Address
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Address Line | 258 S MAIN ST STE 210
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City | LOGAN
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State | UT
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Zip | 84321-5768
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Country | US
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Telephone | 435-514-5646
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Fax | 435-774-1919
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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 | 2007008756
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License Number State | MO
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