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General NPI Number Information
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NPI Number | 1457770208
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Entity Type | Organization
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Legal Business Name | SARAH E STANTON MD INC
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Dates
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Enumeration Date | 04/09/2014
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Last Update Date | 04/20/2016
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Provider Practice Location Address
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Address Line | 9 SPRING BUCK
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City | IRVINE
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State | CA
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Zip | 92614-7431
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Country | US
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Telephone | 858-829-5407
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Fax | 949-679-7408
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Provider Business Mailing Address
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Address Line | 9 SPRING BUCK
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City | IRVINE
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State | CA
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Zip | 92614-7431
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Country | US
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Telephone | 858-829-5407
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Fax | 949-679-7408
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Authorized Official
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Title or Position | OWNER
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Name | DR. SARAH ELIZABETH STANTON
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Credential | M.D.
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Telephone | 858-663-5791
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | G79771
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License Number State | CA
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