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General NPI Number Information
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NPI Number | 1144360686
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Entity Type | Individual
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Provider Name | SARA VANANROOY M.D.
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Gender | Female
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Dates
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Enumeration Date | 02/07/2007
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Last Update Date | 08/13/2013
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Provider Practice Location Address
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Address Line | 1189 S PERRY ST STE 100
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City | CASTLE ROCK
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State | CO
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Zip | 80104-1958
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Country | US
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Telephone | 303-663-0360
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Fax | 303-663-5512
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Provider Business Mailing Address
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Address Line | 1189 S PERRY ST STE 100
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City | CASTLE ROCK
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State | CO
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Zip | 80104-1958
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Country | US
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Telephone | 303-663-0360
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Fax | 303-663-5512
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 28621
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License Number State | CO
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