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General NPI Number Information
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NPI Number | 1366737405
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Entity Type | Individual
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Provider Name | SARAH ELIZABETH BUMPS M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/16/2011
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Last Update Date | 10/07/2024
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Provider Practice Location Address
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Address Line | 6275 E VIRGINIA BEACH BLVD STE 300
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City | NORFOLK
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State | VA
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Zip | 23502-2851
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Country | US
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Telephone | 757-466-0089
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Fax | 757-466-8017
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Provider Business Mailing Address
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Address Line | 6275 E VIRGINIA BEACH BLVD STE 300
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City | NORFOLK
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State | VA
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Zip | 23502-2851
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Country | US
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Telephone | 757-466-0089
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Fax | 757-466-8017
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | MTL-2019-003
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License Number State | GU
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | M-2159
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License Number State | GU
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Taxonomy #3
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 0101252345
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License Number State | VA
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