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General NPI Number Information
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NPI Number | 1023425816
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Entity Type | Individual
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Provider Name | SARA SARRAFEE DDS
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Gender | Female
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Dates
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Enumeration Date | 07/14/2014
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Last Update Date | 04/19/2016
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Provider Practice Location Address
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Address Line | 125 E IRVING PARK RD
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City | STREAMWOOD
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State | IL
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Zip | 60107-2950
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Country | US
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Telephone | 630-213-0666
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Fax |
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Provider Business Mailing Address
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Address Line | 89 WHISPERING DR
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City | STREAMWOOD
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State | IL
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Zip | 60107-2305
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Country | US
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Telephone | 202-320-6581
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 019.030146
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License Number State | IL
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