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General NPI Number Information
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NPI Number | 1427879030
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Entity Type | Individual
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Provider Name | SARAH MCNICHOLAS RN, BSN, IBCLC
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Gender | Female
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Dates
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Enumeration Date | 10/17/2024
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Last Update Date | 10/17/2024
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Provider Practice Location Address
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Address Line | 99 ASHLEY CT
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City | MYERSVILLE
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State | MD
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Zip | 21773-8417
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Country | US
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Telephone | 240-205-8080
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Fax |
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Provider Business Mailing Address
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Address Line | 5780 BILLET ST APT 207
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City | NEW MARKET
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State | MD
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Zip | 21774-7051
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Country | US
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Telephone | 240-415-8757
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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 | 163WL0100X
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Taxonomy Name | Lactation Consultant (Registered Nurse)
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License Number | L-24176
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 163WL0100X
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Taxonomy Name | Lactation Consultant (Registered Nurse)
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License Number | R183634
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License Number State | MD
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