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General NPI Number Information
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NPI Number | 1497000269
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Entity Type | Individual
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Provider Name | SARAH ANN VANCE AGNP-C
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Gender | Female
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Dates
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Enumeration Date | 07/18/2012
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Last Update Date | 01/22/2020
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Provider Practice Location Address
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Address Line | 18302 MIDDLEBELT RD
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City | LIVONIA
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State | MI
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Zip | 48152-5007
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Country | US
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Telephone | 248-478-1500
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Fax | 248-478-2798
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Provider Business Mailing Address
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Address Line | 5654 PARKSIDE ST
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City | MONROE
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State | MI
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Zip | 48161-3941
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Country | US
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Telephone | 734-790-0937
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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 | 4704241489
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 4704241489
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License Number State | MI
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