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General NPI Number Information
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NPI Number | 1497066104
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Entity Type | Individual
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Provider Name | SARAH E CORNER CRNA
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Gender | Female
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Dates
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Enumeration Date | 06/28/2010
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Last Update Date | 04/12/2011
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Provider Practice Location Address
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Address Line | 641 S SALISBURY BLVD
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City | SALISBURY
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State | MD
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Zip | 21801-5429
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Country | US
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Telephone | 410-543-4590
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Fax |
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Provider Business Mailing Address
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Address Line | 1619 HARRISON PKWY
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City | SUNRISE
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State | FL
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Zip | 33323-2856
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Country | US
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Telephone | 954-838-2371
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | R190932
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License Number State | MD
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