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General NPI Number Information
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NPI Number | 1407292345
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Entity Type | Individual
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Provider Name | ADRIENNE ELIZABETH SAUDER MD
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Gender | Female
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Dates
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Enumeration Date | 05/20/2013
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Last Update Date | 05/06/2021
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Provider Practice Location Address
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Address Line | 5301 SW 31ST AVE
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City | FT LAUDERDALE
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State | FL
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Zip | 33312-6906
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Country | US
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Telephone | 954-357-5218
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Fax |
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Provider Business Mailing Address
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Address Line | 2500 S 35TH ST
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City | FORT PIERCE
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State | FL
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Zip | 34981-5573
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Country | US
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Telephone | 772-464-7378
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207ZF0201X
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Taxonomy Name | Forensic Pathology Physician
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License Number | ME135600
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License Number State | FL
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