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General NPI Number Information
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NPI Number | 1467642371
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Entity Type | Individual
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Provider Name | SARAH KHODADADEH MD, MS
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Gender | Female
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Dates
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Enumeration Date | 07/26/2007
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Last Update Date | 12/31/2023
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Provider Practice Location Address
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Address Line | 1000 37TH PL STE 101
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City | VERO BEACH
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State | FL
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Zip | 32960-6579
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Country | US
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Telephone | 772-758-1000
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Fax | 772-758-2000
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Provider Business Mailing Address
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Address Line | 1000 37TH PL STE 101
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City | VERO BEACH
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State | FL
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Zip | 32960-6579
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Country | US
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Telephone | 772-758-1000
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Fax | 772-758-2000
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | ME119283
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | ME119283
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License Number State | FL
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