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General NPI Number Information
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NPI Number | 1417362187
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Entity Type | Individual
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Provider Name | SABRINA MARGARITA MCCLINTOCK D.O.
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Gender | Female
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Dates
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Enumeration Date | 06/21/2014
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Last Update Date | 02/07/2024
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Provider Practice Location Address
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Address Line | 220 PERRY PKWY STE 5
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City | GAITHERSBURG
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State | MD
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Zip | 20877-2145
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Country | US
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Telephone | 305-609-1513
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Fax |
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Provider Business Mailing Address
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Address Line | 11000 CANDLELIGHT LN
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City | POTOMAC
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State | MD
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Zip | 20854-2758
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Country | US
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Telephone | 305-609-1513
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | H0099376
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License Number State | MD
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