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General NPI Number Information
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NPI Number | 1225614555
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Entity Type | Individual
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Provider Name | SARAH OMMEN MS CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 03/18/2021
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Last Update Date | 03/18/2021
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Provider Practice Location Address
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Address Line | 44 GREENOUGH RD
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City | PLAISTOW
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State | NH
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Zip | 03865-2724
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Country | US
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Telephone | 603-382-7131
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Fax |
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Provider Business Mailing Address
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Address Line | 208 OAK RIDGE RD
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City | PLAISTOW
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State | NH
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Zip | 03865-2924
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Country | US
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Telephone | 603-974-1628
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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 | 1435
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License Number State | NH
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