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General NPI Number Information
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NPI Number | 1831452275
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Entity Type | Individual
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Provider Name | SARA A CONRAD AUD
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Gender | Female
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Dates
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Enumeration Date | 06/20/2012
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Last Update Date | 10/26/2022
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Provider Practice Location Address
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Address Line | 17577 NASSAU COMMONS BLVD STE 103
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City | LEWES
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State | DE
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Zip | 19958-6288
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Country | US
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Telephone | 302-645-7603
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Fax | 302-645-7604
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Provider Business Mailing Address
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Address Line | 17577 NASSAU COMMONS BLVD STE 103
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City | LEWES
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State | DE
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Zip | 19958-6288
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Country | US
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Telephone | 302-645-7603
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Fax | 302-645-7604
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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 | 237600000X
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Taxonomy Name | Audiologist-Hearing Aid Fitter
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License Number | 2201001490
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 237600000X
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Taxonomy Name | Audiologist-Hearing Aid Fitter
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License Number | O2-0000231
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License Number State | DE
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