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General NPI Number Information
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NPI Number | 1588776967
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Entity Type | Individual
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Provider Name | SARAH K OSULLIVAN DMD
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Gender | Female
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 03/21/2024
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Provider Practice Location Address
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Address Line | 246 W GIRARD AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19123-1776
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Country | US
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Telephone | 267-202-0083
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Fax |
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Provider Business Mailing Address
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Address Line | 427 S GEORGE ST
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City | YORK
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State | PA
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Zip | 17401-2773
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Country | US
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Telephone | 717-773-0408
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | DS031255
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License Number State | PA
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