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General NPI Number Information
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NPI Number | 1699041160
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Entity Type | Individual
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Provider Name | SARAH E WHITEHEAD MD
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Gender | Female
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Dates
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Enumeration Date | 03/28/2012
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Last Update Date | 08/09/2018
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Provider Practice Location Address
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Address Line | PARIS VIEW FAMILY MEDICINE 1028 NORTH CHURCH STREET
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City | GREENVILLE
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State | SC
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Zip | 29601-1639
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Country | US
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Telephone | 864-271-1464
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Fax | 877-379-2854
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Provider Business Mailing Address
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Address Line | PO BOX 743294
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City | ATLANTA
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State | GA
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Zip | 30374-3294
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Country | US
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Telephone | 336-716-3346
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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 | 207QG0300X
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Taxonomy Name | Geriatric Medicine (Family Medicine) Physician
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License Number | 52015
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License Number State | SC
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