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General NPI Number Information
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NPI Number | 1871277897
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Entity Type | Individual
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Provider Name | SARA E DEMLOW MT-BC, NMT
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Gender | Female
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Dates
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Enumeration Date | 06/12/2023
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Last Update Date | 06/12/2023
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Provider Practice Location Address
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Address Line | 1001 MACY DR
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City | ROSWELL
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State | GA
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Zip | 30076-6335
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Country | US
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Telephone | 678-956-0993
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Fax |
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Provider Business Mailing Address
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Address Line | 1748 WATERFALL VILLAGE DR SE APT D
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City | MARIETTA
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State | GA
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Zip | 30067-3828
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Country | US
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Telephone | 678-857-9874
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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 | 225A00000X
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Taxonomy Name | Music Therapist
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License Number | MUT000248
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License Number State | GA
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