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General NPI Number Information
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NPI Number | 1124888474
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Entity Type | Individual
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Provider Name | SARAH ANN MCCORMICK
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Gender | Female
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Dates
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Enumeration Date | 03/21/2024
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Last Update Date | 03/26/2024
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Provider Practice Location Address
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Address Line | 1946 TOWN PARK BLVD
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City | UNIONTOWN
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State | OH
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Zip | 44685-8372
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Country | US
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Telephone | 330-896-5010
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Fax |
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Provider Business Mailing Address
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Address Line | 8685 BURKEY RD NW
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City | NORTH CANTON
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State | OH
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Zip | 44720-4724
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Country | US
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Telephone | 330-354-3070
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | APRN.CNP.0036112
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License Number State | OH
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