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General NPI Number Information
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NPI Number | 1811789811
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Entity Type | Individual
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Provider Name | SARAH JANE BASSETT
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Gender | Female
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Dates
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Enumeration Date | 05/19/2025
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Last Update Date | 08/11/2025
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Provider Practice Location Address
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Address Line | 2435 RESEARCH PKWY STE 255
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City | COLORADO SPRINGS
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State | CO
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Zip | 80920-1097
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Country | US
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Telephone | 719-900-0211
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Fax |
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Provider Business Mailing Address
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Address Line | 4330 BULL CREEK RD APT 2117
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City | AUSTIN
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State | TX
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Zip | 78731-5940
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Country | US
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Telephone |
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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 | PTL.0020605
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License Number State | CO
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