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General NPI Number Information
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NPI Number | 1831602366
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Entity Type | Individual
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Provider Name | MARIA LOURDES CLARIN SEQUITO PT
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Gender | Female
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Dates
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Enumeration Date | 11/06/2017
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Last Update Date | 11/06/2017
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Provider Practice Location Address
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Address Line | 3008 SHAWNEE DR S
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City | BEDFORD
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State | IN
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Zip | 47421-5282
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Country | US
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Telephone | 812-329-3799
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Fax |
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Provider Business Mailing Address
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Address Line | 3326 MICHAEL AVE APT 740
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City | BEDFORD
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State | IN
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Zip | 47421-3658
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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 | 05012422A
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License Number State | IN
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