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General NPI Number Information
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NPI Number | 1861581589
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Entity Type | Individual
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Provider Name | SARAH DAVIS MCCULLOH MSP
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Gender | Female
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Dates
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Enumeration Date | 10/12/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2500 WINCHESTER PL SUITE 100
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City | SPARTANBURG
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State | SC
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Zip | 29301-1550
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Country | US
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Telephone | 864-574-7282
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Fax | 864-574-7664
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Provider Business Mailing Address
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Address Line | 434 GLEN CREST DR
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City | MOORE
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State | SC
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Zip | 29369-9287
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Country | US
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Telephone | 864-486-8706
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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 | 3818
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License Number State | SC
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