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Individual
SARAH BONE
Active
Individual
SARAH BONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-06656
NC
363A00000X
Physician Assistant
5601004436
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2058216240
BCBS PROVIDER PIN
MI
01
—
300027028
DR SORCE TAX ID
MI
Enumeration date
07/07/2006
Last updated
01/05/2025
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