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NPI 1235920752

NPI 1235920752 : SARAH DODRILL : COWEN, WV

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General NPI Number Information
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    NPI Number           |    1235920752
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    Entity Type          |    Individual 
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    Provider Name        |    SARAH DODRILL
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/14/2025
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    Last Update Date     |    05/14/2025
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Provider Practice Location Address
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    Address Line         |    50 BIRCH RIVER RD 
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    City                 |    COWEN
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    State                |    WV
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    Zip                  |    26206-8560
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    Country              |    US
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    Telephone            |    304-618-0572
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 903 
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    City                 |    COWEN
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    State                |    WV
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    Zip                  |    26206-0903
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    Country              |    US
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    Telephone            |    
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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        |    374U00000X
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    Taxonomy Name        |    Home Health Aide
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    License Number       |    
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    License Number State |    
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