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NPI Code Detail

MEDICARE: SARAH LYNN KAZMIERCZAK

MEDICARE:   SARAH LYNN KAZMIERCZAK
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
1235Z00000XSpeech-Language PathologistSP-1316NV

General Provider Information

NPI Number : 1952682957
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH LYNN KAZMIERCZAK
Provider Business Mailing Address
First Line : 6133 SEA CLIFF COVE ST
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89031-4259
Country : US
Telephone Number : 717-903-5291
Fax Number :
Provider Business Practice Location Address
First Line : 6133 SEA CLIFF COVE STREET
Second Line :
City : LAS VEGAS
State : NV
Zip : 89031
Country : US
Telephone Number : 717-903-5291
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/02/2011
Last Update Date : 09/02/2011

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Directions to “ SARAH LYNN KAZMIERCZAK ” Practice Location

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