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General NPI Number Information
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NPI Number | 1215614540
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Entity Type | Individual
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Provider Name | SARAH ANNE BRYAN FNP-C
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Gender | Female
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Dates
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Enumeration Date | 06/28/2023
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Last Update Date | 09/05/2025
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Provider Practice Location Address
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Address Line | 3901 GEORGIA ST NE STE A2B
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City | ALBUQUERQUE
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State | NM
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Zip | 87110-1391
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Country | US
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Telephone | 505-227-0836
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Fax | 505-212-0037
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Provider Business Mailing Address
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Address Line | 3901 GEORGIA ST NE STE A2B
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City | ALBUQUERQUE
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State | NM
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Zip | 87110-1391
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Country | US
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Telephone | 505-221-6746
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Fax | 505-212-0037
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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 | 74373
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License Number State | NM
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