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General NPI Number Information
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NPI Number | 1275277741
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Entity Type | Individual
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Provider Name | SARAH PUCKETT DO
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Gender | Female
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Dates
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Enumeration Date | 04/21/2022
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Last Update Date | 10/24/2025
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Provider Practice Location Address
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Address Line | 4950 BUFFALO RD
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City | ERIE
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State | PA
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Zip | 16510-2304
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Country | US
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Telephone | 814-897-2597
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Fax |
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Provider Business Mailing Address
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Address Line | 4 ALLEGHENY CTR FL 7
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City | PITTSBURGH
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State | PA
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Zip | 15212-5227
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Country | US
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Telephone | 412-330-5851
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | OT021430
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License Number State | PA
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