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General NPI Number Information
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NPI Number | 1669873493
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Entity Type | Individual
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Provider Name | SARAH MCCANN M.ED
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Gender | Female
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Dates
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Enumeration Date | 09/11/2014
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Last Update Date | 02/12/2021
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Provider Practice Location Address
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Address Line | 6103 GERANIUM
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City | SAN ANTONIO
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State | TX
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Zip | 78253-5658
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Country | US
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Telephone | 207-462-8722
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Fax |
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Provider Business Mailing Address
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Address Line | 2812 W HARE DR
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City | FLAGSTAFF
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State | AZ
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Zip | 86001-2583
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Country | US
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Telephone | 814-602-8677
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 3602
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 3602
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License Number State | KS
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Taxonomy #3
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SA12039
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License Number State | FL
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