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NPI 1437492733

NPI 1437492733 : SARAH PROEHL M.D. : BRISBANE, CA

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General NPI Number Information
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    NPI Number           |    1437492733
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    Entity Type          |    Individual 
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    Provider Name        |    SARAH PROEHL M.D.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    04/04/2013
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    Last Update Date     |    01/28/2022
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Provider Practice Location Address
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    Address Line         |    2000 SIERRA POINT PKWY FL 9 
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    City                 |    BRISBANE
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    State                |    CA
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    Zip                  |    94005-1845
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    Country              |    US
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    Telephone            |    650-502-6928
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2000 SIERRA POINT PKWY FL 9 
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    City                 |    BRISBANE
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    State                |    CA
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    Zip                  |    94005-1845
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    Country              |    US
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    Telephone            |    914-374-2071
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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        |    207V00000X
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    Taxonomy Name        |    Obstetrics & Gynecology Physician
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    License Number       |    A132922
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    License Number State |    CA
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