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General NPI Number Information
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NPI Number | 1588907224
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Entity Type | Individual
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Provider Name | SARAH ANNE WITTRY D.O.
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Gender | Female
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Dates
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Enumeration Date | 04/01/2013
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Last Update Date | 01/25/2022
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Provider Practice Location Address
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Address Line | 800 MCCONNELL DR
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City | COLUMBUS
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State | OH
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Zip | 43214-3463
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Country | US
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Telephone | 614-566-5019
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Fax |
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Provider Business Mailing Address
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Address Line | 5450 FRANTZ RD STE 360
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City | DUBLIN
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State | OH
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Zip | 43016-4141
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Country | US
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Telephone |
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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 | 2081H0002X
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Taxonomy Name | Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | 60657336
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 2081H0002X
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Taxonomy Name | Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | 34.014000
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License Number State | OH
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