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General NPI Number Information
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NPI Number | 1457262776
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Entity Type | Individual
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Provider Name | SARA DIMATTIA AU.D.
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Gender | Female
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Dates
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Enumeration Date | 09/15/2026
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Last Update Date | 09/15/2026
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Provider Practice Location Address
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Address Line | 1221 MERCANTILE LN
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City | UPPER MARLBORO
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State | MD
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Zip | 20774-5374
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Country | US
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Telephone | 570-660-3313
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Fax |
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Provider Business Mailing Address
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Address Line | 6012 ALTA AVE
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City | BALTIMORE
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State | MD
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Zip | 21206-2301
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Country | US
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Telephone | 570-660-3313
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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 | 231H00000X
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Taxonomy Name | Audiologist
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License Number | 01783
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License Number State | MD
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