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General NPI Number Information
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NPI Number | 1255983334
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Entity Type | Individual
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Provider Name | SARAH BETH CLAUSSEN FNP-C
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Gender | Female
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Dates
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Enumeration Date | 07/10/2019
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Last Update Date | 08/02/2019
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Provider Practice Location Address
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Address Line | 1151 W IRON SPRINGS RD STE F
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City | PRESCOTT
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State | AZ
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Zip | 86305-1614
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Country | US
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Telephone | 928-445-0160
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Fax |
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Provider Business Mailing Address
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Address Line | 1415 TERRACE VIEW DR
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City | PRESCOTT
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State | AZ
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Zip | 86301-1554
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Country | US
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Telephone | 928-499-2771
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN161549
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 230343
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License Number State | AZ
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