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General NPI Number Information
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NPI Number | 1659301687
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Entity Type | Individual
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Provider Name | SARA L IMERSHEIN M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/04/2006
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Last Update Date | 12/13/2016
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Provider Practice Location Address
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Address Line | 1225 4TH ST NE
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City | WASHINGTON
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State | DC
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Zip | 20002-3431
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Country | US
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Telephone | 202-347-8500
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Fax |
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Provider Business Mailing Address
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Address Line | 3912 HARRISON ST NW
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City | WASHINGTON
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State | DC
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Zip | 20015-1938
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Country | US
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Telephone | 202-365-5300
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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 | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | MD14394
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License Number State | DC
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