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General NPI Number Information
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NPI Number | 1457666299
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Entity Type | Individual
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Provider Name | SARAH CAMPANA GNP
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Gender | Female
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Dates
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Enumeration Date | 08/17/2010
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Last Update Date | 08/26/2014
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Provider Practice Location Address
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Address Line | 4114 POND HILL RD SUITE 101
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City | SAN ANTONIO
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State | TX
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Zip | 78231-1272
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Country | US
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Telephone | 210-249-5020
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Fax | 210-572-1540
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Provider Business Mailing Address
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Address Line | 4114 POND HILL RD SUITE 101
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City | SAN ANTONIO
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State | TX
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Zip | 78231-1272
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Country | US
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Telephone | 210-249-5020
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Fax | 210-572-1540
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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 | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 647264
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License Number State | TX
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