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General NPI Number Information
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NPI Number | 1285589903
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Entity Type | Individual
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Provider Name | SARA ELIZABETH EGAN
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Gender |
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Dates
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Enumeration Date | 02/27/2026
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Last Update Date | 02/27/2026
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Provider Practice Location Address
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Address Line | 221 2ND AVE SW
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City | BYRON
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State | MN
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Zip | 55920-1288
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Country | US
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Telephone | 507-292-1006
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Fax |
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Provider Business Mailing Address
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Address Line | 818 NORTH BLVD
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City | OAK PARK
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State | IL
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Zip | 60301-1302
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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