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General NPI Number Information
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NPI Number | 1114448552
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Entity Type | Individual
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Provider Name | SARAH KARGBO
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Gender | Female
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Dates
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Enumeration Date | 07/06/2017
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Last Update Date | 07/06/2017
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Provider Practice Location Address
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Address Line | 6000 RIVERSIDE DR FRIENDSHIP VILLAGE OF DUBLIM
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City | DUBLIN
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State | OH
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Zip | 43017
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Country | US
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Telephone | 614-764-1600
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Fax |
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Provider Business Mailing Address
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Address Line | 4817 KINGSHILL DR APT F
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City | COLUMBUS
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State | OH
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Zip | 43229-7210
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Country | US
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Telephone | 614-432-1615
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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 | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number | 401813861215
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License Number State | OH
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