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General NPI Number Information
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NPI Number | 1174828446
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Entity Type | Individual
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Provider Name | ALEXANDRIA MARIE SARA NP
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Gender | Female
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Dates
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Enumeration Date | 01/18/2011
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Last Update Date | 02/20/2025
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Provider Practice Location Address
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Address Line | 1005 DIVISION ST
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City | PRESCOTT
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State | AZ
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Zip | 86301-1601
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Country | US
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Telephone | 928-776-8428
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 81064
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City | CLEVELAND
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State | OH
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Zip | 44181-0064
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Country | US
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Telephone | 520-795-8080
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Fax | 520-323-6237
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | SP028517
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 15585
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 15585
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License Number State | TN
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Taxonomy #4
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 4704348250
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License Number State | MI
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Taxonomy #5
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 15585
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License Number State | TN
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Taxonomy #6
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 313964
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License Number State | AZ
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