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General NPI Number Information
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NPI Number | 1609377324
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Entity Type | Individual
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Provider Name | SARAH ELIZABETH WIEGAND DPT/PT
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Gender | Female
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Dates
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Enumeration Date | 02/27/2018
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Last Update Date | 02/27/2018
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Provider Practice Location Address
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Address Line | 302 SILVER AVE
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City | SAN FRANCISCO
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State | CA
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Zip | 94112-1510
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Country | US
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Telephone | 415-334-2500
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Fax |
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Provider Business Mailing Address
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Address Line | 726 BISHOPS LN
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City | WEBSTER
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State | NY
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Zip | 14580-2460
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Country | US
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Telephone | 585-545-5376
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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 | 294567
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License Number State | CA
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