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General NPI Number Information
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NPI Number | 1679492607
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Entity Type | Individual
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Provider Name | ALEJANDRIA SERAIAH KASPARIE PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 07/13/2026
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Last Update Date | 07/13/2026
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Provider Practice Location Address
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Address Line | 1311 N MAIN ST
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City | GUYMON
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State | OK
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Zip | 73942-3303
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Country | US
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Telephone | 580-338-4676
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Fax |
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Provider Business Mailing Address
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Address Line | 704 W 2ND ST
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City | BEAVER
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State | OK
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Zip | 73932-3476
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Country | US
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Telephone | 580-216-3006
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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 | 6893
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License Number State | OK
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