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General NPI Number Information
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NPI Number | 1205301272
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Entity Type | Individual
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Provider Name | SARAH NARGESS KAZERANI NP-BC
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Gender | Female
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Dates
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Enumeration Date | 10/05/2018
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Last Update Date | 07/11/2025
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Provider Practice Location Address
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Address Line | 133 PARK ST
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City | MALONE
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State | NY
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Zip | 12953-1244
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Country | US
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Telephone | 518-483-3000
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Fax |
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Provider Business Mailing Address
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Address Line | 2500 DELANO AVE
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City | MIDLAND
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State | TX
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Zip | 79701-6357
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Country | US
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Telephone | 405-476-9794
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 817972
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 4043029
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP139110
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License Number State | TX
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