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General NPI Number Information
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NPI Number | 1083385272
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Entity Type | Individual
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Provider Name | SARAH CIELECKI MILITARY HEALTH CARE
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Gender | Female
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Dates
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Enumeration Date | 09/27/2021
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Last Update Date | 09/27/2021
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Provider Practice Location Address
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Address Line | 1260 SHOTGUN RD
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City | CHESAPEAKE
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State | VA
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Zip | 23322-4512
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Country | US
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Telephone | 757-421-1875
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Fax |
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Provider Business Mailing Address
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Address Line | 1820 AFT WAY
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City | CHESAPEAKE
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State | VA
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Zip | 23323-2653
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Country | US
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Telephone | 609-600-7400
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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 | 1710I1002X
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Taxonomy Name | Independent Duty Corpsman
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License Number |
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License Number State |
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