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General NPI Number Information
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NPI Number | 1235449349
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Entity Type | Individual
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Provider Name | SARAH ELIZABETH PHOENIX CNP
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Gender | Female
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Dates
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Enumeration Date | 10/08/2010
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Last Update Date | 04/02/2025
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Provider Practice Location Address
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Address Line | 253 N STATE ST STE 100
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City | WESTERVILLE
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State | OH
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Zip | 43081-1471
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Country | US
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Telephone | 614-636-2583
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Fax |
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Provider Business Mailing Address
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Address Line | 253 N STATE ST STE 100
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City | WESTERVILLE
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State | OH
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Zip | 43081-1471
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Country | US
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Telephone | 614-636-2583
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Fax | 614-358-2582
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | APRN.CNP.11833
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | RN325822
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License Number State | OH
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