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General NPI Number Information
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NPI Number | 1104312024
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Entity Type | Individual
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Provider Name | SARA ELIZABETH DIAZ DE ARCE PA-C
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Gender | Female
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Dates
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Enumeration Date | 07/03/2018
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Last Update Date | 12/08/2025
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Provider Practice Location Address
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Address Line | 1520 W HARRISON ST
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City | CHICAGO
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State | IL
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Zip | 60607-3106
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Country | US
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Telephone | 800-226-2371
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Fax |
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Provider Business Mailing Address
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Address Line | 8900 N KENDALL DR
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City | MIAMI
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State | FL
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Zip | 33176-2118
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA9112362
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 085010522
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | MA060004
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License Number State | PA
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