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General NPI Number Information
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NPI Number | 1386026698
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Entity Type | Individual
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Provider Name | SARAH NIX FNP
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Gender | Female
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Dates
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Enumeration Date | 06/23/2015
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Last Update Date | 02/19/2020
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Provider Practice Location Address
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Address Line | 155 SPURWINK AVE
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City | CAPE ELIZABETH
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State | ME
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Zip | 04107-9604
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Country | US
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Telephone | 207-767-2174
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Fax |
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Provider Business Mailing Address
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Address Line | 155 SPURWINK AVE
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City | CAPE ELIZABETH
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State | ME
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Zip | 04107-9604
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Country | US
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Telephone | 207-767-2174
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | CNP151075
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License Number State | ME
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 22199
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License Number State | SC
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