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General NPI Number Information
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NPI Number | 1538561113
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Entity Type | Individual
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Provider Name | SARRAH GREEN NP
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Gender | Female
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Dates
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Enumeration Date | 09/25/2014
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Last Update Date | 07/14/2025
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Provider Practice Location Address
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Address Line | 12088 PALMYRA RD
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City | OAK GROVE
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State | KY
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Zip | 42262-9370
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Country | US
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Telephone | 931-338-8900
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Fax |
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Provider Business Mailing Address
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Address Line | 291 LEATHERWOOD BAY RD
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City | DOVER
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State | TN
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Zip | 37058-4507
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Country | US
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Telephone | 931-338-8900
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 19136
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 3011011
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License Number State | KY
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