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General NPI Number Information
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NPI Number | 1851854608
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Entity Type | Individual
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Provider Name | SARA EATON M.S.P.
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Gender | Female
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Dates
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Enumeration Date | 04/09/2019
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Last Update Date | 04/09/2019
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Provider Practice Location Address
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Address Line | 2S700 CONTINENTAL DR
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City | WARRENVILLE
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State | IL
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Zip | 60555-1456
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Country | US
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Telephone | 630-393-1787
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Fax |
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Provider Business Mailing Address
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Address Line | 481 RIVER BEND RD UNIT 107
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City | NAPERVILLE
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State | IL
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Zip | 60540-5285
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Country | US
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Telephone | 630-881-4447
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 242003359
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License Number State | IL
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