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General NPI Number Information
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NPI Number | 1770162455
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Entity Type | Individual
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Provider Name | SARAH HAWSEY NESTER DPT
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Gender | Female
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Dates
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Enumeration Date | 04/07/2021
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Last Update Date | 04/07/2021
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Provider Practice Location Address
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Address Line | 800 E MAIN ST STE 200
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City | WYTHEVILLE
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State | VA
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Zip | 24382-3322
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Country | US
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Telephone | 276-323-0881
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Fax |
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Provider Business Mailing Address
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Address Line | 151 GLASCOE LN
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City | WYTHEVILLE
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State | VA
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Zip | 24382-5265
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Country | US
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Telephone | 276-698-9554
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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 | 2305212574
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License Number State | VA
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