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NPI 1164969143

NPI 1164969143 : SARAH ANNE DOLL FNP : GRANDVIEW, MO

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General NPI Number Information
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    NPI Number           |    1164969143
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    Entity Type          |    Individual 
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    Provider Name        |    SARAH ANNE DOLL FNP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    01/27/2017
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    Last Update Date     |    02/19/2026
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Provider Practice Location Address
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    Address Line         |    1513 MAIN ST 
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    City                 |    GRANDVIEW
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    State                |    MO
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    Zip                  |    64030-2538
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    Country              |    US
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    Telephone            |    816-731-1890
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    Fax                  |    833-996-1159
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Provider Business Mailing Address
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    Address Line         |    19401 E 39TH ST S 
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    City                 |    INDEPENDENCE
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    State                |    MO
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    Zip                  |    64057-2308
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    Country              |    US
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    Telephone            |    816-490-4277
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    Fax                  |    855-446-7160
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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       |    2012022930
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    License Number State |    MO
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