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General NPI Number Information
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NPI Number | 1942351507
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Entity Type | Organization
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Legal Business Name | SARA GRANOFF-SCHOR, DPM, INC.
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Dates
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Enumeration Date | 01/12/2007
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 960 RESERVOIR AVE SUITE 11
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City | CRANSTON
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State | RI
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Zip | 02910-4446
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Country | US
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Telephone | 401-944-4770
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Fax | 401-944-4771
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Provider Business Mailing Address
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Address Line | 960 RESERVOIR AVE SUITE 11
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City | CRANSTON
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State | RI
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Zip | 02910-4446
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Country | US
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Telephone | 401-944-4770
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Fax | 401-944-4771
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. SARA ROBIN GRANOFF-SCHOR
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Credential | DPM
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Telephone | 401-944-4770
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | DPM00226
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License Number State | RI
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Taxonomy #2
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | DPM00257
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License Number State | RI
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