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General NPI Number Information
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NPI Number | 1275846214
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Entity Type | Individual
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Provider Name | SARAH M THU NP
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Gender | Female
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Dates
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Enumeration Date | 07/20/2010
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Last Update Date | 06/29/2022
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Provider Practice Location Address
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Address Line | 1600 W 22ND ST
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City | SIOUX FALLS
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State | SD
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Zip | 57105-1521
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Country | US
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Telephone | 605-312-1000
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 5074
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City | SIOUX FALLS
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State | SD
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Zip | 57117-5074
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Country | US
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Telephone |
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | R 152833-2
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | CP001876
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License Number State | SD
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