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NPI 1538179304

NPI 1538179304 : SARAH J FERRAZZANI PA : WEST ROXBURY, MA

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General NPI Number Information
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    NPI Number           |    1538179304
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    Entity Type          |    Individual 
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    Provider Name        |    SARAH J FERRAZZANI PA
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/08/2006
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    Last Update Date     |    10/15/2012
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Provider Practice Location Address
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    Address Line         |    1400 VFW PARKWAY CARDIOLOGY DIVISION- 5TH FLOOR
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    City                 |    WEST ROXBURY
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    State                |    MA
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    Zip                  |    02132-8235
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    Country              |    US
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    Telephone            |    857-203-5124
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    Fax                  |    857-203-5550
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Provider Business Mailing Address
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    Address Line         |    BOSTON VA HEALTH CARESYSTEM 1400 VFW PARKWAY- CARDIOLOGY DIVISION- 5TH FLOOR
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    City                 |    WEST ROXBURY
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    State                |    MA
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    Zip                  |    02132-8235
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    Country              |    US
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    Telephone            |    857-203-5124
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    Fax                  |    857-203-5550
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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        |    363AM0700X
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    Taxonomy Name        |    Medical Physician Assistant
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    License Number       |    63
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    License Number State |    MA
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