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General NPI Number Information
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NPI Number | 1487489175
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Entity Type | Individual
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Provider Name | SARAH PELLEGRINO NP
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Gender | Female
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Dates
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Enumeration Date | 09/03/2024
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Last Update Date | 09/03/2024
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Provider Practice Location Address
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Address Line | 220 CONTINENTAL DR STE 407
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City | NEWARK
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State | DE
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Zip | 19713-4315
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Country | US
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Telephone | 302-657-1724
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Fax |
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Provider Business Mailing Address
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Address Line | 409 GLENSIDE AVE
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City | WILMINGTON
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State | DE
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Zip | 19803-4325
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Country | US
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Telephone | 302-577-0390
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | LG-0012888
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License Number State | DE
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