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General NPI Number Information
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NPI Number | 1104223007
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Entity Type | Individual
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Provider Name | SARA BETH ABBO CRNP
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Gender | Female
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Dates
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Enumeration Date | 11/21/2014
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Last Update Date | 11/11/2019
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Provider Practice Location Address
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Address Line | 537 STANTON CHRISTIANA RD SUITE 201
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City | NEWARK
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State | DE
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Zip | 19713-2146
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Country | US
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Telephone | 302-994-9692
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Fax | 302-994-9803
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Provider Business Mailing Address
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Address Line | 3400 CIVIC CENTER BLVD 2 WEST
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City | PHILADELPHIA
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State | PA
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Zip | 19104-5127
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Country | US
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Telephone | 215-615-0062
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Fax | 215-349-8144
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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 | SP016120
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License Number State | PA
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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 | LG-0000797
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License Number State | DE
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