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General NPI Number Information
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NPI Number | 1780715367
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Entity Type | Individual
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Provider Name | SARAH D COLGAN
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Gender | Female
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Dates
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Enumeration Date | 03/08/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2823 FRANKLIN RD SW
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City | ROANOKE
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State | VA
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Zip | 24014-1025
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Country | US
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Telephone | 540-224-3036
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Fax |
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Provider Business Mailing Address
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Address Line | 5713 E LYNCHBURG SALEM TPKE
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City | BEDFORD
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State | VA
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Zip | 24523-4356
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Country | US
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Telephone | 540-586-2761
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 0202004814
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License Number State | VA
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