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General NPI Number Information
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NPI Number | 1306463146
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Entity Type | Individual
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Provider Name | SARAH YORK
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Gender | Female
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Dates
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Enumeration Date | 06/27/2020
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Last Update Date | 07/08/2022
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Provider Practice Location Address
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Address Line | 4350 DIXIE HWY
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City | WATERFORD
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State | MI
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Zip | 48329-3506
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Country | US
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Telephone | 248-674-0466
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Fax |
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Provider Business Mailing Address
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Address Line | 1655 GREENWAY DR
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City | YPSILANTI
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State | MI
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Zip | 48198-3570
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Country | US
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Telephone | 248-836-7626
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 5351016462
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License Number State | MI
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