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General NPI Number Information
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NPI Number | 1205194354
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Entity Type | Individual
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Provider Name | SARAH J CLAWSON APRN
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Gender | Female
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Dates
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Enumeration Date | 04/26/2012
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Last Update Date | 06/24/2015
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Provider Practice Location Address
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Address Line | 10111 E 21ST ST N SUITE 301
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City | WICHITA
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State | KS
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Zip | 67206-3508
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Country | US
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Telephone | 316-634-0060
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Fax | 316-634-0050
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Provider Business Mailing Address
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Address Line | 10111 E 21ST ST N SUITE 301
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City | WICHITA
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State | KS
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Zip | 67206-3508
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Country | US
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Telephone | 316-634-0060
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Fax | 316-634-0050
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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 | 13105535102
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License Number State | KS
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