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General NPI Number Information
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NPI Number | 1467909697
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Entity Type | Individual
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Provider Name | SARAH ANNE WOODRICK PA
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Gender | Female
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Dates
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Enumeration Date | 09/06/2016
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Last Update Date | 10/31/2024
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Provider Practice Location Address
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Address Line | 1815 E IRELAND RD
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City | SOUTH BEND
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State | IN
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Zip | 46614-2845
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Country | US
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Telephone | 574-647-1700
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Fax | 574-291-3351
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Provider Business Mailing Address
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Address Line | 2733 SOUTHRIDGE DR
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City | SOUTH BEND
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State | IN
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Zip | 46614-1537
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Country | US
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Telephone | 269-930-2823
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number |
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License Number State |
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