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General NPI Number Information
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NPI Number | 1740176221
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Entity Type | Individual
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Provider Name | SARA ANN SAK RRT
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Gender | Female
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Dates
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Enumeration Date | 06/13/2025
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Last Update Date | 06/13/2025
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Provider Practice Location Address
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Address Line | 249 LINKSIDE LAKE DR
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City | RICHMOND HILL
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State | GA
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Zip | 31324-1195
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Country | US
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Telephone | 912-414-4946
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Fax |
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Provider Business Mailing Address
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Address Line | 249 LINKSIDE LAKE DR
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City | RICHMOND HILL
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State | GA
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Zip | 31324-1195
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Country | US
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Telephone | 912-414-4946
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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 | 2279C0205X
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Taxonomy Name | Critical Care Registered Respiratory Therapist
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License Number | YM017438
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 2279C0205X
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Taxonomy Name | Critical Care Registered Respiratory Therapist
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License Number | RCP4461
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License Number State | SC
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Taxonomy #3
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Taxonomy Code | 2279C0205X
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Taxonomy Name | Critical Care Registered Respiratory Therapist
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License Number | LRTR2969
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License Number State | WV
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Taxonomy #4
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Taxonomy Code | 2279C0205X
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Taxonomy Name | Critical Care Registered Respiratory Therapist
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License Number | RT19583
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License Number State | FL
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Taxonomy #5
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Taxonomy Code | 2279C0205X
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Taxonomy Name | Critical Care Registered Respiratory Therapist
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License Number | 13698
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License Number State | NC
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Taxonomy #6
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Taxonomy Code | 2279C0205X
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Taxonomy Name | Critical Care Registered Respiratory Therapist
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License Number | 7357
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License Number State | GA
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