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General NPI Number Information
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NPI Number | 1427497908
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Entity Type | Individual
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Provider Name | DR. SARAH JEAN DIEKMAN
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Gender | Female
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Dates
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Enumeration Date | 06/18/2013
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Last Update Date | 08/01/2022
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Provider Practice Location Address
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Address Line | 5000 THAYER CTR STE C
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City | OAKLAND
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State | MD
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Zip | 21550-1139
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Country | US
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Telephone | 833-768-7633
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Fax | 949-437-2692
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Provider Business Mailing Address
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Address Line | 2717 SW 98TH DR
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City | GAINESVILLE
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State | FL
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Zip | 32608-8679
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Country | US
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Telephone |
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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 | 2083X0100X
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Taxonomy Name | Occupational Medicine Physician
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License Number | D0093111
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License Number State | MD
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