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NPI 1730474016

NPI 1730474016 : SARA LYNN CAMARATA DO : SAN ANTONIO, TX

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General NPI Number Information
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    NPI Number           |    1730474016
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    Entity Type          |    Individual 
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    Provider Name        |    SARA LYNN CAMARATA DO
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/14/2011
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    Last Update Date     |    02/25/2025
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Provider Practice Location Address
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    Address Line         |    7400 MERTON MINTER ST 
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    City                 |    SAN ANTONIO
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    State                |    TX
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    Zip                  |    78229-4404
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    Country              |    US
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    Telephone            |    210-949-9702
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1205 N MAIN ST 
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    City                 |    MARION
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    State                |    SC
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    Zip                  |    29571-2008
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    Country              |    US
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    Telephone            |    843-423-0760
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    Fax                  |    843-423-8136
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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        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    37593
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    License Number State |    SC
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Taxonomy #2
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    5101019304
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    License Number State |    MI
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