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General NPI Number Information
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NPI Number | 1023298296
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Entity Type | Individual
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Provider Name | SARAH ELIZABETH MARY PAEZ GNP-BC
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Gender | Female
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Dates
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Enumeration Date | 11/05/2007
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Last Update Date | 04/25/2019
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Provider Practice Location Address
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Address Line | 1250 HANCOCK ST FL 5
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City | QUINCY
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State | MA
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Zip | 02169-4339
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Country | US
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Telephone | 617-421-2686
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Fax | 617-774-0606
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Provider Business Mailing Address
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Address Line | 251 ROCK ISLAND RD
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City | QUINCY
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State | MA
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Zip | 02169-3837
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Country | US
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Telephone | 610-248-5289
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Fax | 617-774-0606
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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 | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | NPP37445
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License Number State | RI
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Taxonomy #2
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 261321
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License Number State | MA
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