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General NPI Number Information
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NPI Number | 1912642380
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Entity Type | Individual
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Provider Name | SARAH E LEGRAND DPT
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Gender | Female
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Dates
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Enumeration Date | 05/01/2022
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Last Update Date | 05/05/2025
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Provider Practice Location Address
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Address Line | 240 W JUNIPER AVE
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City | GILBERT
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State | AZ
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Zip | 85233-3911
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Country | US
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Telephone | 317-650-3237
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Fax |
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Provider Business Mailing Address
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Address Line | 1211 SW 21ST ST APT 304
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City | PENDLETON
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State | OR
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Zip | 97801-4477
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Country | US
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Telephone | 317-650-3237
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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 | LPT-32536
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License Number State | AZ
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