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General NPI Number Information
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NPI Number | 1649644675
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Entity Type | Organization
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Legal Business Name | SARAH C HAMAUEI, MD, LLC
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Dates
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Enumeration Date | 11/13/2015
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Last Update Date | 02/28/2017
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Provider Practice Location Address
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Address Line | 2133 E BERT KOUNS INDUSTRIAL LOOP
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City | SHREVEPORT
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State | LA
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Zip | 71105-5314
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Country | US
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Telephone | 318-218-1299
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Fax |
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Provider Business Mailing Address
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Address Line | 2133 E BERT KOUNS INDUSTRIAL LOOP
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City | SHREVEPORT
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State | LA
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Zip | 71105-5314
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Country | US
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Telephone | 318-218-1299
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Fax |
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Authorized Official
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Title or Position | OWNER/PHYSICIAN
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Name | DR. SARAH CARROLL HAMAUEI
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Credential | MD
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Telephone | 318-218-1299
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | 201778
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number | 201778
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License Number State | LA
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