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General NPI Number Information
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NPI Number | 1215108436
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Entity Type | Individual
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Provider Name | SARAH ELDER PERSUN DO
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Gender | Female
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Dates
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Enumeration Date | 03/14/2008
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Last Update Date | 09/04/2009
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Provider Practice Location Address
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Address Line | 4300 LONDONDERRY RD PINNACLE HEALTH HOSPITAL SYSTEM CGOH CAMPUS
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City | HARRISBURG
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State | PA
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Zip | 17109
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Country | US
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Telephone | 717-657-7458
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Fax |
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Provider Business Mailing Address
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Address Line | 210 BECKER ST
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City | DANVILLE
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State | PA
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Zip | 17821-1180
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Country | US
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Telephone | 717-877-7688
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | OT012502
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License Number State | PA
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