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General NPI Number Information
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NPI Number | 1356679104
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Entity Type | Individual
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Provider Name | SARAH ELIZABETH KELLOGG D.C.
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Gender | Female
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Dates
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Enumeration Date | 12/04/2009
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Last Update Date | 11/20/2023
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Provider Practice Location Address
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Address Line | 313 INTERSTATE BLVD STE 8
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City | SARASOTA
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State | FL
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Zip | 34240-8409
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Country | US
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Telephone | 941-371-4747
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Fax |
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Provider Business Mailing Address
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Address Line | 702 N BEERS ST SUITE #8
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City | HOLMDEL
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State | NJ
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Zip | 07733-1520
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Country | US
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Telephone | 908-902-9483
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 38MC00679000
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License Number State | NJ
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