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NPI Code Detail

MEDICARE: SARA S OVERALL

MEDICARE: SARA S OVERALL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1134070766
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARA S OVERALL
Provider Business Mailing Address
First Line : 2600 CLIFTON AVE
Second Line :
City : CINCINNATI
State : OH
Zip : 45220-2872
Country : US
Telephone Number : 216-647-6403
Fax Number :
Provider Business Practice Location Address
First Line : 2600 CLIFTON AVE
Second Line :
City : CINCINNATI
State : OH
Zip : 45220-2872
Country : US
Telephone Number : 216-647-6403
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/09/2026
Last Update Date : 02/09/2026

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Directions to “ SARA S OVERALL ” Practice Location

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