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General NPI Number Information
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NPI Number | 1215554068
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Entity Type | Individual
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Provider Name | SARAH LOUISE STORNIOLO NURSE PRACTITIONER
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Gender | Female
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Dates
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Enumeration Date | 06/28/2020
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Last Update Date | 04/21/2026
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Provider Practice Location Address
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Address Line | 8631 W 3RD ST STE 1035
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City | LOS ANGELES
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State | CA
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Zip | 90048-5964
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Country | US
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Telephone | 310-659-9075
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Fax | 310-689-2422
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Provider Business Mailing Address
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Address Line | 4000 HOLLYWOOD BLVD STE 215S
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City | HOLLYWOOD
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State | FL
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Zip | 33021-1227
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Country | US
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Telephone | 310-659-9075
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Fax | 310-689-2422
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 237887
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 201700591RN
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License Number State | OR
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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 | 202009555NP-PP
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License Number State | OR
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 95032524
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License Number State | CA
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