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General NPI Number Information
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NPI Number | 1922833789
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Entity Type | Individual
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Provider Name | SARAH MARGARET KELLEY
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Gender | Female
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Dates
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Enumeration Date | 09/03/2024
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Last Update Date | 09/03/2024
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Provider Practice Location Address
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Address Line | 26522 NORMANDY RD
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City | BAY VILLAGE
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State | OH
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Zip | 44140-2316
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Country | US
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Telephone | 440-840-3095
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Fax |
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Provider Business Mailing Address
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Address Line | 3300 W 155TH ST
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City | CLEVELAND
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State | OH
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Zip | 44111-2027
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Country | US
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Telephone | 216-496-9091
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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 | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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