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General NPI Number Information
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NPI Number | 1558165126
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Entity Type | Individual
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Provider Name | SARA TEDFORD PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 04/02/2025
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Last Update Date | 07/10/2025
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Provider Practice Location Address
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Address Line | 302 NW 10TH ST
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City | LEON
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State | IA
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Zip | 50144-1220
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Country | US
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Telephone | 417-298-3056
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Fax |
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Provider Business Mailing Address
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Address Line | 404 SW CHURCH ST
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City | LEON
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State | IA
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Zip | 50144-1353
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Country | US
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Telephone | 417-298-3056
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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 | 00457-0
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License Number State | IA
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