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NPI 1336617554

NPI 1336617554 : SARAH LORAW EMT : HAGERSTOWN, MD

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General NPI Number Information
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    NPI Number           |    1336617554
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    Entity Type          |    Individual 
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    Provider Name        |    SARAH LORAW EMT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    11/06/2018
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    Last Update Date     |    11/06/2018
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Provider Practice Location Address
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    Address Line         |    13302 PENNSYLVANIA AVE 
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    City                 |    HAGERSTOWN
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    State                |    MD
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    Zip                  |    21742-2675
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    Country              |    US
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    Telephone            |    240-513-3590
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    425 W MAIN ST APT 2 
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    City                 |    WAYNESBORO
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    State                |    PA
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    Zip                  |    17268-1429
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    Country              |    US
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    Telephone            |    301-639-8017
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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        |    146N00000X
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    Taxonomy Name        |    Basic Emergency Medical Technician
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    License Number       |    E3412957
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    License Number State |    
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