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NPI 1457162307

NPI 1457162307 : SARAH RYLE FNP : PALM BEACH GARDENS, FL

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General NPI Number Information
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    NPI Number           |    1457162307
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    Entity Type          |    Individual 
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    Provider Name        |    SARAH RYLE FNP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    01/17/2025
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    Last Update Date     |    04/24/2025
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Provider Practice Location Address
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    Address Line         |    11780 US HIGHWAY 1 STE N107 
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    City                 |    PALM BEACH GARDENS
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    State                |    FL
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    Zip                  |    33408-3007
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    Country              |    US
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    Telephone            |    561-815-2427
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    11780 USHIGHWAY 1 SUITE N107
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    City                 |    PALM BEACH GARDENS
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    State                |    FL
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    Zip                  |    33408-7422
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    Country              |    US
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    Telephone            |    561-815-2427
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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        |    163W00000X
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    Taxonomy Name        |    Registered Nurse
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    License Number       |    28213428A
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    License Number State |    IN
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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       |    4034607
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    License Number State |    KY
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Taxonomy #3
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    Taxonomy Code        |    363L00000X
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    Taxonomy Name        |    Nurse Practitioner
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    License Number       |    4034607
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    License Number State |    KY
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