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General NPI Number Information
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NPI Number | 1396188348
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Entity Type | Individual
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Provider Name | SARAH RAMADANI M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/09/2013
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Last Update Date | 08/13/2019
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Provider Practice Location Address
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Address Line | 10256 OLD GREEN BAY RD
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City | PLEASANT PRAIRIE
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State | WI
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Zip | 53158-2814
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Country | US
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Telephone | 262-551-4210
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Fax | 262-551-4942
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Provider Business Mailing Address
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Address Line | 9555 76TH STREET
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City | PLEASANT PRAIRIE
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State | WI
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Zip | 53158-1984
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Country | US
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Telephone | 262-577-8400
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Fax | 262-577-8476
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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 | 207QB0002X
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Taxonomy Name | Obesity Medicine (Family Medicine) Physician
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License Number | 64167-20
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 64167-20
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License Number State | WI
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 01077349A
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License Number State | IN
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