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General NPI Number Information
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NPI Number | 1215749239
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Entity Type | Individual
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Provider Name | SARA WOURMS RN
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Gender | Female
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Dates
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Enumeration Date | 01/25/2025
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Last Update Date | 09/14/2026
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Provider Practice Location Address
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Address Line | 3188 BELLEVUE AVE
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City | CINCINNATI
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State | OH
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Zip | 45219-2369
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Country | US
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Telephone | 513-558-5500
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Fax |
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Provider Business Mailing Address
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Address Line | 4127 SIBLEY AVE
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City | CINCINNATI
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State | OH
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Zip | 45236-3737
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Country | US
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Telephone | 937-684-2337
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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 | 163WC0200X
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Taxonomy Name | Critical Care Medicine Registered Nurse
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License Number | RN.447799
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License Number State | OH
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