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NPI 1205403342

NPI 1205403342 : SARAH KIMBERLY WARD : LAKELAND, FL

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General NPI Number Information
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    NPI Number           |    1205403342
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    Entity Type          |    Individual 
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    Provider Name        |    SARAH KIMBERLY WARD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/08/2021
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    Last Update Date     |    10/07/2025
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Provider Practice Location Address
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    Address Line         |    1919 LAKELAND HILLS BLVD 
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    City                 |    LAKELAND
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    State                |    FL
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    Zip                  |    33805-2901
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    Country              |    US
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    Telephone            |    872-231-3162
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 7410884 
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    City                 |    CHICAGO
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    State                |    IL
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    Zip                  |    60674-0884
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    Country              |    US
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    Telephone            |    702-899-0595
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    Fax                  |    702-977-1496
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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        |    363LF0000X
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    Taxonomy Name        |    Family Nurse Practitioner
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    License Number       |    APRN11013539
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    License Number State |    FL
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Taxonomy #2
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    APRN11013539
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    License Number State |    FL
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