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General NPI Number Information
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NPI Number | 1508252958
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Entity Type | Individual
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Provider Name | SARAH CORTEZ M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/13/2015
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Last Update Date | 07/16/2019
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Provider Practice Location Address
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Address Line | 2373 G RD STE 240
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City | GRAND JUNCTION
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State | CO
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Zip | 81505-1006
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Country | US
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Telephone | 970-243-7908
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Fax | 970-245-0656
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Provider Business Mailing Address
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Address Line | 4961 LACLEDE AVE APT 512
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City | SAINT LOUIS
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State | MO
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Zip | 63108-1457
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Country | US
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Telephone | 248-701-2713
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | DR.0062361
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License Number State | CO
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