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General NPI Number Information
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NPI Number | 1639608714
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Entity Type | Individual
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Provider Name | SARA ELIZABETH ANDERSON PT
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Gender | Female
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Dates
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Enumeration Date | 06/12/2017
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Last Update Date | 03/15/2022
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Provider Practice Location Address
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Address Line | 6011 HARRY HINES BLVD STE V3106
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City | DALLAS
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State | TX
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Zip | 75235-5386
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Country | US
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Telephone | 970-371-9615
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Fax |
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Provider Business Mailing Address
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Address Line | 3609 WREXHAM ST
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City | FRISCO
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State | TX
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Zip | 75036-6454
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Country | US
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Telephone | 970-371-9615
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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 | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number |
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License Number State |
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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 | 1291666
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License Number State | TX
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