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General NPI Number Information
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NPI Number | 1326531492
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Entity Type | Individual
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Provider Name | SARAH ANN NICOLE RENKO APRN
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Gender | Female
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Dates
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Enumeration Date | 06/12/2018
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Last Update Date | 01/29/2024
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Provider Practice Location Address
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Address Line | 235 BOGGS LN
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City | RICHMOND
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State | KY
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Zip | 40475-2584
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Country | US
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Telephone | 859-376-1363
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Fax | 859-376-1326
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Provider Business Mailing Address
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Address Line | 116 LONGVIEW DR
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City | RICHMOND
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State | KY
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Zip | 40475-2232
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Country | US
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Telephone | 740-503-0336
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 023089
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 4003564
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License Number State | KY
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