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General NPI Number Information
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NPI Number | 1295364982
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Entity Type | Individual
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Provider Name | SARA E CLARK PA-C
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Gender | Female
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Dates
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Enumeration Date | 04/03/2020
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Last Update Date | 10/29/2025
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Provider Practice Location Address
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Address Line | 2790 CLAY EDWARDS DR STE 520B
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City | NORTH KANSAS CITY
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State | MO
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Zip | 64116-3276
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Country | US
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Telephone | 816-691-5198
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Fax | 816-346-7095
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Provider Business Mailing Address
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Address Line | 6931 NW AVALON ST
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City | KANSAS CITY
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State | MO
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Zip | 64152-2910
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Country | US
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Telephone | 217-853-4191
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 2019041162
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 15-02310
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License Number State | KS
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