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NPI Code Detail

MEDICARE: SARAH CATHERINE HASELEY

MEDICARE: SARAH CATHERINE HASELEY
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 ProgramC.2607448-TRNEOH

General Provider Information

NPI Number : 1881551331
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH CATHERINE HASELEY
Provider Business Mailing Address
First Line : 17920 DETROIT AVE
Second Line :
City : LAKEWOOD
State : OH
Zip : 44107-3447
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3622 PROSPECT AVE E
Second Line :
City : CLEVELAND
State : OH
Zip : 44115-2704
Country : US
Telephone Number : 216-431-4600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/07/2026
Last Update Date : 01/07/2026

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Directions to “ SARAH CATHERINE HASELEY ” Practice Location

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