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General NPI Number Information
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NPI Number | 1093954331
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Entity Type | Organization
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Legal Business Name | SARAH T. KRABILL, M.D., FAMILY PRACTICE, P. C.
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Dates
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Enumeration Date | 02/10/2009
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Last Update Date | 05/11/2011
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Provider Practice Location Address
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Address Line | 1806 CHARLTON CT
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City | GOSHEN
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State | IN
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Zip | 46526-6463
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Country | US
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Telephone | 574-534-2400
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Fax |
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Provider Business Mailing Address
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Address Line | 1806 CHARLTON CT
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City | GOSHEN
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State | IN
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Zip | 46526-6463
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Country | US
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Telephone | 574-534-2400
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SARAH T KRABILL
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Credential | M.D.
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Telephone | 574-534-2400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State | IN
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