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General NPI Number Information
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NPI Number | 1396318291
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Entity Type | Individual
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Provider Name | SARA ELIZABETH BARE APN
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Gender | Female
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Dates
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Enumeration Date | 07/20/2021
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Last Update Date | 06/19/2025
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Provider Practice Location Address
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Address Line | 224 E BUTLER RD
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City | MAULDIN
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State | SC
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Zip | 29662-2129
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Country | US
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Telephone | 864-288-1847
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Fax |
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Provider Business Mailing Address
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Address Line | 496 AVERILL ST
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City | GREENVILLE
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State | SC
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Zip | 29601-4120
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Country | US
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Telephone | 843-906-9607
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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 | 24703
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License Number State | SC
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