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General NPI Number Information
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NPI Number | 1841566015
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Entity Type | Individual
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Provider Name | SARA RHODES SHORT M.D.
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Gender | Female
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Dates
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Enumeration Date | 03/31/2012
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Last Update Date | 02/10/2025
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Provider Practice Location Address
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Address Line | 10 MCCLELLAN BANKS
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City | CHARLESTON
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State | SC
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Zip | 29425-0001
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Country | US
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Telephone | 843-792-2300
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Fax |
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Provider Business Mailing Address
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Address Line | 10 MCCLELLAN BANKS
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City | CHARLESTON
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State | SC
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Zip | 29425-0001
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Country | US
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Telephone |
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 35.126407
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | MD468127
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 2080H0002X
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Taxonomy Name | Pediatric Hospice and Palliative Medicine Physician
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License Number | 86451
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License Number State | SC
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Taxonomy #4
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Taxonomy Code | 2080P0203X
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Taxonomy Name | Pediatric Critical Care Medicine Physician
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License Number | MD468127
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License Number State | PA
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Taxonomy #5
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Taxonomy Code | 2080P0203X
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Taxonomy Name | Pediatric Critical Care Medicine Physician
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License Number | 86451
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License Number State | SC
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