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General NPI Number Information
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NPI Number | 1376175935
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Entity Type | Individual
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Provider Name | MRS. SARA J KING
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Gender | Female
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Dates
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Enumeration Date | 02/11/2020
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Last Update Date | 12/23/2024
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Provider Practice Location Address
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Address Line | 140 ALLEN CT
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City | NORTH AUGUSTA
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State | SC
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Zip | 29860-9782
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Country | US
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Telephone | 803-510-0007
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Fax |
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Provider Business Mailing Address
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Address Line | 140 ALLEN CT
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City | NORTH AUGUSTA
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State | SC
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Zip | 29860-9782
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Country | US
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Telephone | 803-510-0007
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | APN.29536
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | GAA-NP000434
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License Number State | GA
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