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General NPI Number Information
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NPI Number | 1134899792
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Entity Type | Individual
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Provider Name | SARAH LAZAROVICH FNP
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Gender | Female
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Dates
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Enumeration Date | 09/15/2021
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Last Update Date | 06/22/2022
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Provider Practice Location Address
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Address Line | 213 OLD OAKEN BUCKET RD
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City | SCITUATE
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State | MA
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Zip | 02066-4434
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Country | US
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Telephone | 617-650-9020
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Fax |
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Provider Business Mailing Address
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Address Line | 213 OLD OAKEN BUCKET RD
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City | SCITUATE
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State | MA
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Zip | 02066-4434
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Country | US
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Telephone | 617-650-9020
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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 | RN2274698
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License Number State | MA
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