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General NPI Number Information
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NPI Number | 1427866227
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Entity Type | Individual
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Provider Name | SARAH PRATT COA
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Gender | Female
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Dates
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Enumeration Date | 12/26/2024
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Last Update Date | 12/26/2024
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Provider Practice Location Address
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Address Line | 895 CANTON RD NE
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City | MARIETTA
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State | GA
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Zip | 30060-8934
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Country | US
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Telephone | 770-427-8111
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Fax | 678-402-6889
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Provider Business Mailing Address
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Address Line | 895 CANTON RD NE
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City | MARIETTA
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State | GA
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Zip | 30060-8934
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Country | US
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Telephone | 770-427-8111
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Fax | 678-402-6889
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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 | 156FX1101X
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Taxonomy Name | Ophthalmic Assistant
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License Number |
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License Number State |
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