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General NPI Number Information
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NPI Number | 1033856901
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Entity Type | Individual
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Provider Name | SARA RISH URQUHART MD
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Gender | Female
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Dates
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Enumeration Date | 05/12/2022
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Last Update Date | 03/31/2025
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Provider Practice Location Address
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Address Line | 1840 WEALTHY ST SE
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City | GRAND RAPIDS
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State | MI
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Zip | 49506-2921
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Country | US
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Telephone | 616-391-1730
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Fax | 616-285-0846
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Provider Business Mailing Address
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Address Line | 4100 EMBASSY DR SE STE 200
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City | GRAND RAPIDS
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State | MI
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Zip | 49546-2416
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Country | US
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Telephone | 616-975-1845
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Fax | 616-285-0846
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 4301511280
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License Number State | MI
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