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General NPI Number Information
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NPI Number | 1639294382
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Entity Type | Individual
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Provider Name | MRS. SARAH WHITESCARVER KOEHLER
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Gender | Female
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Dates
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Enumeration Date | 03/20/2007
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Last Update Date | 09/12/2008
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Provider Practice Location Address
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Address Line | 5110 PARK RD SUITE 1-C
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City | CHARLOTTE
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State | NC
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Zip | 28209-3699
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Country | US
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Telephone | 704-405-0155
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1494
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City | BELMONT
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State | NC
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Zip | 28012-1494
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Country | US
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Telephone | 704-829-6074
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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 | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | 708
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License Number State | NC
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