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General NPI Number Information
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NPI Number | 1396035408
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Entity Type | Individual
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Provider Name | SARAH MARIA LARSON ANP-C
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Gender | Female
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Dates
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Enumeration Date | 04/10/2011
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Last Update Date | 01/11/2017
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Provider Practice Location Address
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Address Line | 14122 W MCDOWELL RD SUITE 102B
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City | GOODYEAR
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State | AZ
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Zip | 85395-2503
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Country | US
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Telephone | 623-236-8720
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Fax | 623-234-9682
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Provider Business Mailing Address
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Address Line | 14122 W MCDOWELL RD STE 102-B
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City | GOODYEAR
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State | AZ
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Zip | 85395-2503
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Country | US
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Telephone | 623-236-8720
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Fax | 623-234-9682
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | AP4007
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License Number State | AZ
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