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General NPI Number Information
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NPI Number | 1366409922
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Entity Type | Individual
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Provider Name | SARAH MARIE CENTENO MD
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Gender | Female
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Dates
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Enumeration Date | 04/27/2006
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Last Update Date | 02/26/2015
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Provider Practice Location Address
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Address Line | 1030 SIR FRANCIS DRAKE BLVD SUITE 100, RM 1
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City | KENTFIELD
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State | CA
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Zip | 94904-1411
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Country | US
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Telephone | 415-927-7097
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Fax | 415-449-3532
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Provider Business Mailing Address
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Address Line | 1030 SIR FRANCIS DRAKE BLVD SUITE 100, RM 1
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City | KENTFIELD
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State | CA
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Zip | 94904-1411
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Country | US
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Telephone | 415-927-7097
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Fax | 415-449-3532
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MD20050147
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License Number State | NM
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