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General NPI Number Information
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NPI Number | 1366111965
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Entity Type | Individual
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Provider Name | SARAH DELABAHAN NP-C
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Gender | Female
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Dates
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Enumeration Date | 09/08/2021
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Last Update Date | 05/01/2023
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Provider Practice Location Address
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Address Line | 230 PROSPECT PL STE 340B
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City | SAN DIEGO
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State | CA
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Zip | 92118-1991
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Country | US
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Telephone | 619-435-2600
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 371744
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City | SAN DIEGO
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State | CA
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Zip | 92137-1744
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Country | US
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Telephone |
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 95018988
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License Number State | CA
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