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Individual
SARAH ELIZABETH BODIAN
Active
Individual
SARAH ELIZABETH BODIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
201405790NP-PP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500675844
—
OR
01
—
R178941
MEDICARE PTAN
OR
Enumeration date
09/24/2013
Last updated
06/15/2016
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