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General NPI Number Information
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NPI Number | 1295153997
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Entity Type | Individual
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Provider Name | SARA RUTH HOGAN MD
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Gender | Female
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Dates
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Enumeration Date | 03/31/2014
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Last Update Date | 01/31/2025
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Provider Practice Location Address
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Address Line | 1250 23RD ST NW STE 410
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City | WASHINGTON
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State | DC
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Zip | 20037-1279
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Country | US
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Telephone | 202-796-8886
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Fax | 202-796-8887
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Provider Business Mailing Address
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Address Line | 1250 23RD ST NW STE 410
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City | WASHINGTON
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State | DC
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Zip | 20037-1279
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | A162065
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207NS0135X
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Taxonomy Name | Procedural Dermatology Physician
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License Number | A162065
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 207NS0135X
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Taxonomy Name | Procedural Dermatology Physician
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License Number | MD210001377
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License Number State | DC
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