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General NPI Number Information
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NPI Number | 1487217295
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Entity Type | Individual
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Provider Name | SARA ZELMAN
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Gender | Female
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Dates
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Enumeration Date | 04/17/2019
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Last Update Date | 07/24/2025
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Provider Practice Location Address
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Address Line | 175 FORE RIVER PKWY
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City | PORTLAND
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State | ME
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Zip | 04102-2779
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Country | US
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Telephone | 207-879-3000
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Fax |
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Provider Business Mailing Address
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Address Line | 32 ICE POND DR
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City | PORTLAND
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State | ME
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Zip | 04103-4717
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Country | US
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Telephone | 516-640-2835
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | MD29320
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License Number State | ME
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