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General NPI Number Information
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NPI Number | 1255836813
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Entity Type | Individual
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Provider Name | ERIN KATHLEEN SAIN FNP-C
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Gender | Female
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Dates
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Enumeration Date | 03/27/2018
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Last Update Date | 02/01/2019
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Provider Practice Location Address
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Address Line | 326 W WOODCREST DRIVE
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City | BLOOMINGTON
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State | IN
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Zip | 47401
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Country | US
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Telephone | 812-650-9550
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Fax |
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Provider Business Mailing Address
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Address Line | 10319 JEFFERSON HWY
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City | BATON ROUGE
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State | LA
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Zip | 70809-2730
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Country | US
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Telephone | 225-244-9791
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Fax | 225-214-9349
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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 | 28117686A
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License Number State | IN
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