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General NPI Number Information
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NPI Number | 1932508579
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Entity Type | Individual
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Provider Name | TARA JO PICKART SAUL PT, DPT, ATC
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Gender | Female
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Dates
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Enumeration Date | 08/20/2014
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Last Update Date | 05/06/2020
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Provider Practice Location Address
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Address Line | 411 HAGANMAN LN UNIT D
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City | SOLON
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State | IA
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Zip | 52333-9760
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Country | US
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Telephone | 319-624-1250
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Fax | 319-624-1252
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Provider Business Mailing Address
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Address Line | 411 HAGANMAN LN UNIT D
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City | SOLON
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State | IA
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Zip | 52333-9760
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Country | US
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Telephone | 319-624-1250
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Fax | 319-624-1252
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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 | 073510
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License Number State | IA
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