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NPI 1467162016

NPI 1467162016 : SARAH RAE ZARENANA : HARTFORD, WI

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General NPI Number Information
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    NPI Number           |    1467162016
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    Entity Type          |    Individual 
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    Provider Name        |    SARAH RAE ZARENANA
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    12/05/2022
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    Last Update Date     |    12/05/2025
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Provider Practice Location Address
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    Address Line         |    1366 E SUMNER ST # 1002 
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    City                 |    HARTFORD
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    State                |    WI
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    Zip                  |    53027-1614
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    Country              |    US
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    Telephone            |    337-991-9276
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    Fax                  |    337-943-0846
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Provider Business Mailing Address
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    Address Line         |    5750 JOHNSTON ST STE 205 
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    City                 |    LAFAYETTE
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    State                |    LA
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    Zip                  |    70503-5345
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    Country              |    US
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    Telephone            |    337-991-9276
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    Fax                  |    337-943-0846
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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        |    363LF0000X
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    Taxonomy Name        |    Family Nurse Practitioner
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    License Number       |    2021101461
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    License Number State |    WI
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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       |    13589-33
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    License Number State |    WI
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