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General NPI Number Information
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NPI Number | 1740708288
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Entity Type | Individual
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Provider Name | RAEGAN SAUER
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Gender | Female
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Dates
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Enumeration Date | 09/05/2017
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Last Update Date | 09/05/2017
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Provider Practice Location Address
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Address Line | 5800 GOLF CLUB PKWY
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City | ORLANDO
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State | FL
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Zip | 32808-4800
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Country | US
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Telephone | 407-852-3300
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Fax |
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Provider Business Mailing Address
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Address Line | 3404 SEMINOLE AVE
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City | OVIEDO
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State | FL
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Zip | 32765-8817
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Country | US
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Telephone | 941-465-8495
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SZ8251
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License Number State | FL
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