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General NPI Number Information
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NPI Number | 1275877912
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Entity Type | Individual
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Provider Name | SARA MARIE ZEHNPFENNIG ANP-BC
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Gender | Female
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Dates
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Enumeration Date | 11/19/2012
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Last Update Date | 12/11/2018
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Provider Practice Location Address
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Address Line | 2901 BROOKS ST
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City | MISSOULA
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State | MT
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Zip | 59801-7722
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Country | US
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Telephone | 406-541-8466
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Fax |
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Provider Business Mailing Address
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Address Line | 2901 BROOKS ST
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City | MISSOULA
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State | MT
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Zip | 59801-7722
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Country | US
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Telephone | 406-541-8466
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 4704263797
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | NUR-RN-LIC-46519
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License Number State | MT
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