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General NPI Number Information
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NPI Number | 1447869557
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Entity Type | Individual
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Provider Name | SARAH JANE SHARPE MS, SLP-CCC
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Gender | Female
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Dates
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Enumeration Date | 07/24/2020
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Last Update Date | 07/24/2020
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Provider Practice Location Address
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Address Line | 6215 STONE RD
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City | PORT RICHEY
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State | FL
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Zip | 34668-4847
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Country | US
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Telephone | 727-605-3060
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Fax | 727-645-5215
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Provider Business Mailing Address
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Address Line | 206 E 8TH ST SW
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City | ROME
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State | GA
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Zip | 30161-3316
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Country | US
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Telephone | 865-696-7581
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SLP009200
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License Number State | GA
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