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General NPI Number Information
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NPI Number | 1710844592
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Entity Type | Individual
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Provider Name | SARA JAMISON RDH
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Gender | Female
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Dates
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Enumeration Date | 01/05/2026
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Last Update Date | 01/05/2026
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Provider Practice Location Address
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Address Line | 102 S SUPERIOR AVE
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City | BARAGA
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State | MI
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Zip | 49908-9673
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Country | US
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Telephone | 906-353-8700
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Fax |
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Provider Business Mailing Address
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Address Line | 308 BELVA ST
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City | CARROLLTON
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State | GA
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Zip | 30117-2536
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Country | US
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Telephone | 404-272-1617
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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 | 124Q00000X
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Taxonomy Name | Dental Hygienist
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License Number | DH007081
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License Number State | GA
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