Basic Information
Provider Information
NPI: 1700465150
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: DANEHOWER
FirstName: SARAH
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
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Mailing Information
Address1: 206 FORESTCREST CT
Address2:  
City: APEX
State: NC
PostalCode: 275023891
CountryCode: US
TelephoneNumber: 9199242901
FaxNumber:  
Practice Location
Address1: 530 S JACKSON ST
Address2:  
City: LOUISVILLE
State: KY
PostalCode: 402021675
CountryCode: US
TelephoneNumber: 5025623000
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/05/2021
LastUpdateDate: 04/05/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
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IsSoleProprietor: N
IsOrganizationSubpart:  
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AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 04/05/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207T00000X1770717811KYY Allopathic & Osteopathic PhysiciansNeurological Surgery 

No ID Information.


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