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NPI Code Detail

MEDICARE: SARAH REBECCA EWING

MEDICARE:   SARAH REBECCA EWING
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1252Y00000XEarly Intervention Provider AgencyF272969WV

General Provider Information

NPI Number : 1326975624
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH REBECCA EWING
Provider Business Mailing Address
First Line : 515 WOODBRIDGE DR
Second Line :
City : CHARLESTON
State : WV
Zip : 25311-9742
Country : US
Telephone Number : 304-444-8095
Fax Number :
Provider Business Practice Location Address
First Line : 515 WOODBRIDGE DR
Second Line :
City : CHARLESTON
State : WV
Zip : 25311-9742
Country : US
Telephone Number : 304-444-8095
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/08/2026
Last Update Date : 05/08/2026

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Directions to “ SARAH REBECCA EWING ” Practice Location

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