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General NPI Number Information
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NPI Number | 1053828889
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Entity Type | Individual
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Provider Name | SARAH EVANS
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Gender | Female
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Dates
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Enumeration Date | 01/02/2018
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Last Update Date | 01/02/2018
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Provider Practice Location Address
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Address Line | 7180 10TH ST N
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City | OAKDALE
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State | MN
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Zip | 55128-1122
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Country | US
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Telephone | 651-714-3162
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Fax |
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Provider Business Mailing Address
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Address Line | 10396 GRAND OAKS TRL
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City | WOODBURY
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State | MN
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Zip | 55129-4244
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Country | US
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Telephone |
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 22973
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License Number State | IA
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 051299549
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 123589
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License Number State | MN
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