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General NPI Number Information
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NPI Number | 1174049308
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Entity Type | Individual
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Provider Name | SARAH NAIL CPNP-PC
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Gender | Female
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Dates
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Enumeration Date | 08/18/2017
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Last Update Date | 12/04/2018
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Provider Practice Location Address
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Address Line | 773 ESTATE PL
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City | MEMPHIS
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State | TN
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Zip | 38120
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Country | US
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Telephone | 901-681-4040
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Fax | 901-681-4052
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Provider Business Mailing Address
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Address Line | 2186 WEBBING DR
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City | CORDOVA
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State | TN
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Zip | 38016-4578
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 23039
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License Number State | TN
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