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General NPI Number Information
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NPI Number | 1861170193
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Entity Type | Individual
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Provider Name | DONNA SARARA
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Gender | Female
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Dates
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Enumeration Date | 07/07/2023
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Last Update Date | 01/14/2025
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Provider Practice Location Address
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Address Line | 1130 ANNAPOLIS RD STE 100
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City | ODENTON
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State | MD
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Zip | 21113-1622
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Country | US
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Telephone | 410-672-2255
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Fax | 410-816-9472
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Provider Business Mailing Address
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Address Line | 4900 LYON HEART DR APT 1
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City | OWINGS MILLS
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State | MD
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Zip | 21117-6190
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Country | US
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Telephone | 484-554-8947
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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 | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | C0009343
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License Number State | MD
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