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General NPI Number Information
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NPI Number | 1194188052
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Entity Type | Individual
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Provider Name | SARAH SAGE DOLBEAR M.D
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Gender | Female
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Dates
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Enumeration Date | 03/29/2016
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Last Update Date | 10/25/2022
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Provider Practice Location Address
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Address Line | 14266 LONGWOOD CIR
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City | DIBERVILLE
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State | MS
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Zip | 39540-7880
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Country | US
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Telephone | 251-709-9185
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Fax |
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Provider Business Mailing Address
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Address Line | 6826 DASHMOOR CRK
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City | SAN ANTONIO
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State | TX
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Zip | 78244-1767
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Country | US
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Telephone | 251-709-9185
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | MD.36227
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | MD.36227
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License Number State | AL
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