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General NPI Number Information
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NPI Number | 1316334774
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Entity Type | Individual
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Provider Name | SARAH BLAHA
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Gender | Female
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Dates
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Enumeration Date | 04/22/2015
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Last Update Date | 04/22/2015
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Provider Practice Location Address
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Address Line | 10 FOREST AVE STE 201
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City | FOND DU LAC
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State | WI
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Zip | 54935-4111
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Country | US
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Telephone | 920-933-6400
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Fax | 920-933-1310
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Provider Business Mailing Address
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Address Line | 1116 27TH ST
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City | TWO RIVERS
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State | WI
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Zip | 54241-2115
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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 | 124Q00000X
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Taxonomy Name | Dental Hygienist
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License Number | 10801-16
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License Number State | WI
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