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General NPI Number Information
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NPI Number | 1598006421
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Entity Type | Individual
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Provider Name | STACEY SARA FOLEY DPT
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Gender | Female
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Dates
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Enumeration Date | 03/01/2013
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Last Update Date | 11/11/2022
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Provider Practice Location Address
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Address Line | 1348 S 18TH ST STE 320A
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City | FERNANDINA BEACH
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State | FL
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Zip | 32034-4785
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Country | US
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Telephone | 904-557-9021
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Fax | 904-557-9022
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Provider Business Mailing Address
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Address Line | PO BOX 117345
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City | ATLANTA
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State | GA
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Zip | 30368-7465
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Country | US
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Telephone | 904-346-3465
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Fax | 904-858-6489
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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 | 5866
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License Number State | OK
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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 | PT28095
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License Number State | FL
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