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General NPI Number Information
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NPI Number | 1528234549
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Entity Type | Individual
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Provider Name | SARA JEAN THIERMAN M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/30/2008
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Last Update Date | 12/15/2021
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Provider Practice Location Address
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Address Line | 800 POLY PL
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City | BROOKLYN
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State | NY
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Zip | 11209-7104
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Country | US
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Telephone | 415-596-9844
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Fax |
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Provider Business Mailing Address
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Address Line | 344 SCOTT ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94117-2321
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Country | US
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Telephone | 415-596-9844
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | NONE
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License Number State | NY
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