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General NPI Number Information
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NPI Number | 1508302407
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Entity Type | Individual
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Provider Name | SARA VENAGLIA
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Gender | Female
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Dates
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Enumeration Date | 01/16/2017
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Last Update Date | 05/29/2024
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Provider Practice Location Address
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Address Line | 27 GROVESIDE DR
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City | ALISO VIEJO
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State | CA
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Zip | 92656-7070
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Country | US
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Telephone | 949-444-2260
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Fax |
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Provider Business Mailing Address
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Address Line | 12306 HILLCREEK TURN
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City | MIDLOTHIAN
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State | VA
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Zip | 23112-6816
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Country | US
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Telephone | 804-236-6661
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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 | 374J00000X
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Taxonomy Name | Doula
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License Number |
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License Number State |
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