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General NPI Number Information
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NPI Number | 1093098311
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Entity Type | Individual
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Provider Name | SARAH MAE KERR NURSE PRACTITIONER
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Gender | Female
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Dates
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Enumeration Date | 09/22/2011
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Last Update Date | 02/15/2019
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Provider Practice Location Address
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Address Line | 4757 E WINSETT ST
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City | TUCSON
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State | AZ
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Zip | 85711-4370
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Country | US
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Telephone | 520-232-6617
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Fax |
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Provider Business Mailing Address
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Address Line | 6961 N SOLAZ TERCERO
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City | TUCSON
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State | AZ
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Zip | 85718-1137
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Country | US
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Telephone | 520-869-8656
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 222490
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License Number State | AZ
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