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General NPI Number Information
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NPI Number | 1619082518
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Entity Type | Individual
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Provider Name | KRISTINE SAYERS PT
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Gender | Female
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Dates
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Enumeration Date | 08/20/2006
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Last Update Date | 09/09/2008
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Provider Practice Location Address
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Address Line | 2855 MILLER DR SUITE 105
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City | PLYMOUTH
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State | IN
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Zip | 46563-8091
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Country | US
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Telephone | 574-941-1055
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Fax | 574-941-1083
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Provider Business Mailing Address
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Address Line | 33 KINCRAIG CT
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City | VALPARAISO
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State | IN
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Zip | 46385-7756
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Country | US
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Telephone |
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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 | 05003487A
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License Number State | IN
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