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General NPI Number Information
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NPI Number | 1366991820
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Entity Type | Individual
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Provider Name | SARAH ROSE STEVENS FNPC
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Gender | Female
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Dates
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Enumeration Date | 09/26/2016
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Last Update Date | 01/29/2024
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Provider Practice Location Address
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Address Line | 4466 HERITAGE CT SW
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City | GRANDVILLE
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State | MI
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Zip | 49418-2383
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Country | US
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Telephone | 616-301-0808
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Fax | 616-301-7887
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Provider Business Mailing Address
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Address Line | 4466 HERITAGE CT SW
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City | GRANDVILLE
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State | MI
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Zip | 49418-2383
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Country | US
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Telephone | 616-301-0808
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Fax | 616-301-7887
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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 | APRN.CNP.019932
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License Number State | OH
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