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General NPI Number Information
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NPI Number | 1285259796
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Entity Type | Individual
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Provider Name | SARA CORRIGAN DMD
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Gender | Female
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Dates
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Enumeration Date | 06/10/2020
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Last Update Date | 09/03/2025
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Provider Practice Location Address
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Address Line | 7247 DELMAR BLVD
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City | SAINT LOUIS
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State | MO
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Zip | 63130-4105
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Country | US
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Telephone | 314-727-1319
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Fax |
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Provider Business Mailing Address
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Address Line | 2530 OAKLAND AVE
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City | MAPLEWOOD
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State | MO
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Zip | 63143-1920
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Country | US
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Telephone | 772-203-8753
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 2020015886
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License Number State | MO
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