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General NPI Number Information
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NPI Number | 1053663617
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Entity Type | Individual
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Provider Name | SARAH NICOLE FIEDLER FNP-C
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Gender | Female
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Dates
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Enumeration Date | 10/08/2012
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Last Update Date | 11/10/2023
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Provider Practice Location Address
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Address Line | 16305 ELLIOTT PKWY
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City | WILLIAMSPORT
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State | MD
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Zip | 21795-4081
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Country | US
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Telephone | 240-313-3818
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Fax | 240-673-3823
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Provider Business Mailing Address
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Address Line | 312 LEWISBURG LN
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City | MARTINSBURG
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State | WV
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Zip | 25403-1304
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Country | US
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Telephone | 304-263-2049
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AC002312
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 0024170413
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 79134
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License Number State | WV
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