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General NPI Number Information
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NPI Number | 1336795871
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Entity Type | Individual
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Provider Name | SARAH E MASSEY APRN, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 08/12/2019
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Last Update Date | 12/11/2025
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Provider Practice Location Address
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Address Line | 200 S CEDAR ST
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City | SHELBYVILLE
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State | IL
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Zip | 62565-1838
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Country | US
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Telephone | 217-774-4400
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Fax | 217-774-6445
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Provider Business Mailing Address
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Address Line | PO BOX 19639
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City | SPRINGFIELD
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State | IL
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Zip | 62794-9639
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Country | US
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Telephone | 217-545-8000
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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 | 209019818
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 071.004800
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License Number State | IL
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