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General NPI Number Information
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NPI Number | 1003431669
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Entity Type | Individual
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Provider Name | SARAH MARTIN
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Gender | Female
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Dates
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Enumeration Date | 06/10/2020
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Last Update Date | 09/20/2021
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Provider Practice Location Address
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Address Line | 3333 REGIS BLVD
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City | DENVER
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State | CO
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Zip | 80221-8926
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Country | US
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Telephone | 800-388-2366
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Fax |
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Provider Business Mailing Address
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Address Line | 18227 W 3RD PL APT 4
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City | GOLDEN
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State | CO
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Zip | 80401-6953
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Country | US
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Telephone | 612-723-3884
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | APN.0996732-NP
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License Number State | CO
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