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NPI 1316502743

NPI 1316502743 : SARAH SALARKIA PA : SANTA MONICA, CA

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General NPI Number Information
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    NPI Number           |    1316502743
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    Entity Type          |    Individual 
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    Provider Name        |    SARAH SALARKIA PA
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/01/2019
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    Last Update Date     |    03/14/2025
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Provider Practice Location Address
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    Address Line         |    525 BROADWAY STE 1101 
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    City                 |    SANTA MONICA
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    State                |    CA
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    Zip                  |    90401-2971
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    Country              |    US
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    Telephone            |    888-663-6331
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    Fax                  |    415-252-7176
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Provider Business Mailing Address
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    Address Line         |    1 EMBARCADERO CTR STE 1900 
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    City                 |    SAN FRANCISCO
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    State                |    CA
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    Zip                  |    94111-3723
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    Country              |    US
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    Telephone            |    415-658-6791
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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       |    PA2021-0046
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    License Number State |    NM
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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       |    58631
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    License Number State |    CA
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