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Individual
DR. SARAH DOUGHERTY
Active
Individual
DR. SARAH DOUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
R93418
NY
213E00000X
Podiatrist
Primary
SC006885
PA
213EP1101X
Primary Podiatric Medicine Podiatrist
SC006885
PA
390200000X
Student in an Organized Health Care Education/Training Program
P93418
NY
Other
Enumeration date
06/26/2014
Last updated
03/17/2018
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