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General NPI Number Information
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NPI Number | 1043882871
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Entity Type | Individual
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Provider Name | SARAH ANN MCCAFFREY CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 07/12/2021
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Last Update Date | 07/12/2021
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Provider Practice Location Address
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Address Line | 2927 S FISH HATCHERY RD
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City | FITCHBURG
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State | WI
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Zip | 53711-6498
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Country | US
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Telephone | 608-819-6369
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Fax |
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Provider Business Mailing Address
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Address Line | 27 N WEBSTER ST APT 113
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City | MADISON
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State | WI
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Zip | 53703-3416
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Country | US
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Telephone | 609-613-1778
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 5298-154
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License Number State | WI
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