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General NPI Number Information
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NPI Number | 1609462910
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Entity Type | Organization
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Legal Business Name | DR SARAH E HAGARTY, LLC
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Dates
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Enumeration Date | 12/21/2020
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Last Update Date | 05/01/2025
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Provider Practice Location Address
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Address Line | 7117 CRIMSON RIDGE DR STE 3
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City | ROCKFORD
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State | IL
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Zip | 61107-6213
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Country | US
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Telephone | 815-965-6644
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Fax | 815-977-4016
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Provider Business Mailing Address
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Address Line | 7117 CRIMSON RIDGE DR STE 3
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City | ROCKFORD
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State | IL
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Zip | 61107-6213
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Country | US
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Telephone | 815-965-6644
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Fax | 815-965-2901
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Authorized Official
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Title or Position | OWNER
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Name | DR. SARAH E HAGARTY
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Credential | MD
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Telephone | 773-405-1479
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number |
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License Number State |
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