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General NPI Number Information
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NPI Number | 1346132123
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Entity Type | Individual
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Provider Name | SARAH KATHLEEN BOGDANOVICH OD
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Gender | Female
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Dates
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Enumeration Date | 07/16/2025
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Last Update Date | 07/16/2025
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Provider Practice Location Address
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Address Line | 609 E MCMURRAY RD
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City | CANONSBURG
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State | PA
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Zip | 15317-3419
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Country | US
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Telephone | 724-941-3930
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Fax |
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Provider Business Mailing Address
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Address Line | 1200 VILLAGE DR APT 2201
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City | PITTSBURGH
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State | PA
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Zip | 15241-1466
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Country | US
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Telephone | 717-644-6472
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OEG004282
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License Number State | PA
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