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NPI 1841764412

NPI 1841764412 : SARA RIMES DC : WILLOUGHBY, OH

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General NPI Number Information
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    NPI Number           |    1841764412
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    Entity Type          |    Individual 
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    Provider Name        |    SARA RIMES DC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    01/17/2019
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    Last Update Date     |    01/17/2023
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Provider Practice Location Address
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    Address Line         |    38669 MENTOR AVE STE E 
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    City                 |    WILLOUGHBY
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    State                |    OH
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    Zip                  |    44094-7781
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    Country              |    US
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    Telephone            |    440-488-8371
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    38060 TAMARAC BLVD APT 102 
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    City                 |    WILLOUGHBY
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    State                |    OH
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    Zip                  |    44094-3457
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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        |    111N00000X
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    Taxonomy Name        |    Chiropractor
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    License Number       |    DC-04860
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    License Number State |    OH
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