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General NPI Number Information
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NPI Number | 1003920216
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Entity Type | Individual
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Provider Name | SARAH KELLEY POTASH M.D.
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Gender | Female
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Dates
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Enumeration Date | 08/18/2006
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Last Update Date | 07/11/2019
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Provider Practice Location Address
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Address Line | 160 E HANOVER AVE SUITE 101
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City | CEDAR KNOLLS
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State | NJ
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Zip | 07927-2000
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Country | US
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Telephone | 973-605-5090
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Fax | 973-605-1705
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Provider Business Mailing Address
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Address Line | PO BOX 1368
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City | MORRISTOWN
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State | NJ
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Zip | 07962-1368
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Country | US
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Telephone | 973-605-5090
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Fax | 973-605-1705
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 25MA06492500
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License Number State | NJ
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