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General NPI Number Information
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NPI Number | 1235227539
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Entity Type | Individual
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Provider Name | MARGARET G SULLIVAN NP
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Gender | Female
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Dates
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Enumeration Date | 10/11/2006
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Last Update Date | 02/22/2010
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Provider Practice Location Address
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Address Line | 1326 E PERKINS AVE
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City | SANDUSKY
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State | OH
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Zip | 44870-5025
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Country | US
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Telephone | 419-625-5065
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Fax | 419-621-1276
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Provider Business Mailing Address
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Address Line | 2800 HAYES AVE BLDG. A
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City | SANDUSKY
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State | OH
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Zip | 44870-7248
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Country | US
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Telephone | 419-626-6161
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Fax | 419-626-7030
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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 | NP09095
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License Number State | OH
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