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General NPI Number Information
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NPI Number | 1366033177
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Entity Type | Individual
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Provider Name | SARA S ABUSHARBAIN FNP-C
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Gender | Female
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Dates
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Enumeration Date | 02/03/2021
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Last Update Date | 08/09/2021
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Provider Practice Location Address
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Address Line | 8240 NAAB RD STE 360
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City | INDIANAPOLIS
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State | IN
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Zip | 46260-1987
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Country | US
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Telephone | 317-961-6396
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Fax |
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Provider Business Mailing Address
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Address Line | 6646 FRONT POINT DR
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City | INDIANAPOLIS
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State | IN
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Zip | 46237-4482
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Country | US
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Telephone | 618-709-6441
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | F01210492
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 71011163A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 71011163A
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License Number State | IN
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Taxonomy #4
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 71011163A
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License Number State | IN
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Taxonomy #5
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 71011163A
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License Number State | IN
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