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General NPI Number Information
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NPI Number | 1477161321
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Entity Type | Individual
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Provider Name | SARAH KATHRYN KENIS APRN
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Gender | Female
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Dates
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Enumeration Date | 07/16/2020
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Last Update Date | 07/10/2025
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Provider Practice Location Address
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Address Line | 800 3RD AVE FRNT A
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City | NEW YORK
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State | NY
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Zip | 10022-7604
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Country | US
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Telephone | 516-210-5600
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Fax |
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Provider Business Mailing Address
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Address Line | 706 PAISLEY CT
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City | WILMINGTON
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State | NC
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Zip | 28409-3121
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Country | US
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Telephone | 703-489-1630
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 95025724
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 12702
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License Number State | CT
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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 | 500021734
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License Number State | DC
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Taxonomy #4
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 21734
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License Number State | DC
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Taxonomy #5
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 11007939
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License Number State | FL
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Taxonomy #6
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 4704409486
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License Number State | MI
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Taxonomy #7
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 15199100
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License Number State | NJ
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Taxonomy #8
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 383635
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License Number State | NY
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Taxonomy #9
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 1124906
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License Number State | TX
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Taxonomy #10
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 0136652
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License Number State | VT
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Taxonomy #11
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 0024185549
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License Number State | VA
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Taxonomy #12
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 117457
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License Number State | WV
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Taxonomy #13
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 5022550
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License Number State | NC
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Taxonomy #14
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 11007939
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License Number State | FL
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