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General NPI Number Information
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NPI Number | 1134531742
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Entity Type | Individual
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Provider Name | SARAH GODFREY
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Gender | Female
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Dates
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Enumeration Date | 05/30/2014
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Last Update Date | 05/30/2014
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Provider Practice Location Address
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Address Line | 215 W 4TH ST
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City | GREENVILLE
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State | OH
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Zip | 45331-1423
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Country | US
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Telephone | 937-548-3185
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Fax |
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Provider Business Mailing Address
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Address Line | 915 NICKLIN AVE
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City | PIQUA
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State | OH
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Zip | 45356-1715
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Country | US
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Telephone | 937-570-0240
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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 | SP.6252
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License Number State | OH
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