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General NPI Number Information
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NPI Number | 1639903131
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Entity Type | Individual
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Provider Name | SARA J DEBLAEY RRT
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Gender | Female
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Dates
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Enumeration Date | 08/27/2024
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Last Update Date | 07/24/2025
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Provider Practice Location Address
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Address Line | 8901 W LINCOLN AVE FL 2
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City | WEST ALLIS
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State | WI
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Zip | 53227-2409
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Country | US
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Telephone | 414-328-7700
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Fax |
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Provider Business Mailing Address
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Address Line | 3060 BARRY ST
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City | HUDSONVILLE
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State | MI
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Zip | 49426-9493
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Country | US
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Telephone | 231-527-8510
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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 | 227900000X
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Taxonomy Name | Registered Respiratory Therapist
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License Number |
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License Number State |
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