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Individual
SANDRA K HAREWOOD
Active
Individual
SANDRA K HAREWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35.090989
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0861232
—
OH
01
—
35.090989
STATE MEDICAL BOARD
OH
01
—
HA0825573
MEDICARE PTAN
OH
Enumeration date
04/10/2008
Last updated
01/10/2023
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