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General NPI Number Information
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NPI Number | 1407487093
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Entity Type | Individual
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Provider Name | SARAH B MECHELLE SPROUSE MSN, APRN, FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 01/31/2020
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Last Update Date | 01/12/2023
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Provider Practice Location Address
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Address Line | 2500 JEFFERSON AVE
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City | POINT PLEASANT
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State | WV
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Zip | 25550-1530
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Country | US
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Telephone | 304-675-2230
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Fax | 304-675-2234
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Provider Business Mailing Address
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Address Line | 4 PUTNAM VILLAGE DR.
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City | HURRICANE
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State | WV
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Zip | 25526
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Country | US
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Telephone | 304-757-0057
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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 | APRN.CNP.026503
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License Number State | OH
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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 | 105533
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License Number State | WV
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