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General NPI Number Information
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NPI Number | 1477135242
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Entity Type | Individual
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Provider Name | SARAH BULL CRNP, AGNP-C
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Gender | Female
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Dates
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Enumeration Date | 04/22/2021
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Last Update Date | 05/04/2021
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Provider Practice Location Address
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Address Line | 638 NEWTOWN YARDLEY RD STE 2E
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City | NEWTOWN
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State | PA
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Zip | 18940-1738
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Country | US
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Telephone | 215-968-1616
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Fax | 215-860-1976
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Provider Business Mailing Address
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Address Line | 112 MAPLE SHADE AVE
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City | WASHINGTON CROSSING
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State | PA
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Zip | 18977-1440
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Country | US
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Telephone | 410-215-4837
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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 | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | SP023678
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN669325
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License Number State | PA
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