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General NPI Number Information
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NPI Number | 1245201243
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Entity Type | Individual
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Provider Name | SARAH KELLEY D.O.
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Gender | Female
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Dates
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Enumeration Date | 01/28/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 562 SHEARER ST SUITE 103
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City | GREENSBURG
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State | PA
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Zip | 15601-2746
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Country | US
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Telephone | 724-850-3150
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Fax | 724-850-9139
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Provider Business Mailing Address
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Address Line | 870 WEATHERWOOD LANE SUITE 1
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City | GREENSBURG
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State | PA
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Zip | 15601-2746
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Country | US
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Telephone | 724-850-3150
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Fax | 724-850-9139
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | OS012095
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License Number State | PA
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