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General NPI Number Information
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NPI Number | 1316126949
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Entity Type | Organization
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Legal Business Name | SARA L. TARSIS, MD,PLLC
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Dates
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Enumeration Date | 10/31/2007
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Last Update Date | 12/23/2015
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Provider Practice Location Address
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Address Line | 1122 OCEAN AVE
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City | BROOKLYN
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State | NY
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Zip | 11230-1975
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Country | US
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Telephone | 718-434-5600
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Fax | 718-434-5638
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Provider Business Mailing Address
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Address Line | 1122 OCEAN AVE
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City | BROOKLYN
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State | NY
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Zip | 11230-1975
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Country | US
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Telephone | 718-434-5600
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Fax | 718-434-5600
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Authorized Official
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Title or Position | DOCTOR
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Name | SARA LEAH TARSIS
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Credential | M.D.
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Telephone | 718-434-5600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 209269
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License Number State | NY
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