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General NPI Number Information
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NPI Number | 1568512473
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Entity Type | Individual
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Provider Name | SARA LAUZZE BLIX DPT
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Gender | Female
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Dates
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Enumeration Date | 01/11/2007
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Last Update Date | 03/01/2012
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Provider Practice Location Address
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Address Line | 777 S PALM AVE SUITE 10
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City | SARASOTA
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State | FL
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Zip | 34236-7770
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Country | US
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Telephone | 941-321-9767
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Fax |
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Provider Business Mailing Address
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Address Line | 1102 JESSIE HARBOR DR
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City | OSPREY
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State | FL
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Zip | 34229-2101
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Country | US
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Telephone | 941-321-9767
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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 | PT23118
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License Number State | FL
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