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General NPI Number Information
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NPI Number | 1881266708
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Entity Type | Individual
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Provider Name | SARAH LEANNE GROW PA-C
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Gender | Female
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Dates
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Enumeration Date | 07/12/2021
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Last Update Date | 04/04/2024
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Provider Practice Location Address
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Address Line | 42 LAMBERT ST STE 511
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City | STAUNTON
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State | VA
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Zip | 24401-2437
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Country | US
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Telephone | 540-245-7725
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Fax | 540-245-7730
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Provider Business Mailing Address
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Address Line | PO BOX 388
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City | FISHERSVILLE
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State | VA
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Zip | 22939-0388
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Country | US
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Telephone | 540-245-7725
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Fax | 540-245-7730
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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