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General NPI Number Information
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NPI Number | 1629865407
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Entity Type | Individual
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Provider Name | SARAH M MOFFETT
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Gender | Female
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Dates
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Enumeration Date | 04/23/2025
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Last Update Date | 09/29/2025
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Provider Practice Location Address
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Address Line | 201 WHITE STREET
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City | JACKSONVILLE
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State | NC
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Zip | 28546
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Country | US
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Telephone | 910-449-7268
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Fax |
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Provider Business Mailing Address
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Address Line | 801 NEWTON RD
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City | IOWA CITY
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State | IA
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Zip | 52242-8004
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Country | US
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Telephone | 319-335-7499
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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 | DDS-10357
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License Number State | IA
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