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NPI 1174955660

NPI 1174955660 : SARAH FRENCH CONRAD RN : CHARLESTON, SC

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General NPI Number Information
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    NPI Number           |    1174955660
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    Entity Type          |    Individual 
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    Provider Name        |    SARAH FRENCH CONRAD RN
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/06/2013
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    Last Update Date     |    11/27/2013
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Provider Practice Location Address
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    Address Line         |    2051 CHARLIE HALL BLVD 
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    City                 |    CHARLESTON
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    State                |    SC
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    Zip                  |    29414-5834
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    Country              |    US
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    Telephone            |    843-573-2535
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    Fax                  |    843-573-2534
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Provider Business Mailing Address
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    Address Line         |    2051 CHARLIE HALL BLVD 
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    City                 |    CHARLESTON
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    State                |    SC
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    Zip                  |    29414-5834
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    Country              |    US
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    Telephone            |    843-573-2535
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    Fax                  |    843-573-2534
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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        |    163WP0200X
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    Taxonomy Name        |    Pediatric Registered Nurse
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    License Number       |    RN595226
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    License Number State |    PA
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Taxonomy #2
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    Taxonomy Code        |    163WP0200X
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    Taxonomy Name        |    Pediatric Registered Nurse
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    License Number       |    26NR16383200
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    License Number State |    NJ
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Taxonomy #3
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    Taxonomy Code        |    363LP0200X
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    Taxonomy Name        |    Pediatric Nurse Practitioner
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    License Number       |    18551
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    License Number State |    SC
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