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General NPI Number Information
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NPI Number | 1811397896
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Entity Type | Individual
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Provider Name | SARAH LYNN WERTSBAUGH O.D.
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Gender | Female
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Dates
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Enumeration Date | 08/27/2014
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Last Update Date | 11/01/2023
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Provider Practice Location Address
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Address Line | 2525 FAR HILLS AVE
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City | OAKWOOD
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State | OH
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Zip | 45419-1505
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Country | US
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Telephone | 937-298-0550
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Fax | 937-298-5404
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Provider Business Mailing Address
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Address Line | 8614 WESTWOOD CENTER DR FL 9
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City | VIENNA
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State | VA
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Zip | 22182-2442
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Country | US
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Telephone | 703-847-8899
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Fax | 571-223-6780
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OPT.0003091
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 6340
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OPT.006340
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License Number State | OH
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