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NPI 1396305678

NPI 1396305678 : SARA LOUISE COE NP : TERRE HAUTE, IN

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General NPI Number Information
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    NPI Number           |    1396305678
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    Entity Type          |    Individual 
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    Provider Name        |    SARA LOUISE COE NP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/18/2019
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    Last Update Date     |    05/28/2025
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Provider Practice Location Address
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    Address Line         |    3500 MAPLE AVE 
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    City                 |    TERRE HAUTE
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    State                |    IN
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    Zip                  |    47804-1732
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    Country              |    US
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    Telephone            |    812-238-1555
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    Fax                  |    812-238-2514
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Provider Business Mailing Address
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    Address Line         |    457 POLK MANOR DR 
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    City                 |    GREENWOOD
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    State                |    IN
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    Zip                  |    46143-1642
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    Country              |    US
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    Telephone            |    317-408-1671
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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        |    363LG0600X
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    Taxonomy Name        |    Gerontology Nurse Practitioner
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    License Number       |    28156525A
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    License Number State |    IN
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