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General NPI Number Information
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NPI Number | 1518373893
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Entity Type | Individual
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Provider Name | SARAH ELIZABETH TRYON
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Gender | Female
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Dates
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Enumeration Date | 07/07/2014
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Last Update Date | 04/01/2021
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Provider Practice Location Address
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Address Line | 535 E 70TH ST
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City | NEW YORK
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State | NY
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Zip | 10021-4823
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Country | US
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Telephone | 212-606-1752
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Fax |
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Provider Business Mailing Address
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Address Line | 523 E 72ND ST # 619
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City | NEW YORK
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State | NY
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Zip | 10021-4099
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Country | US
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Telephone | 571-215-5092
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 4704310042
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 0001250708
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 33 339359
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 22 657179
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License Number State | NY
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