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General NPI Number Information
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NPI Number | 1780293621
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Entity Type | Individual
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Provider Name | SARAH RADCLIFF
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Gender | Female
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Dates
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Enumeration Date | 07/27/2020
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Last Update Date | 07/15/2025
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Provider Practice Location Address
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Address Line | 14101 W HWY 290 STE 1600B
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City | AUSTIN
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State | TX
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Zip | 78737-9394
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Country | US
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Telephone | 512-522-7793
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Fax | 818-484-2316
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Provider Business Mailing Address
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Address Line | 14101 W HWY 290 STE 1600B
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City | AUSTIN
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State | TX
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Zip | 78737-9394
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Country | US
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Telephone | 512-522-7793
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Fax | 818-484-2316
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | LD.08887
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 39964-DI-0
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License Number State | NV
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Taxonomy #3
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | DT86608
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License Number State | TX
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