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General NPI Number Information
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NPI Number | 1548254378
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Entity Type | Individual
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Provider Name | SARAH LAU APN
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Gender | Female
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Dates
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Enumeration Date | 09/08/2005
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Last Update Date | 07/08/2024
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Provider Practice Location Address
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Address Line | 1740 W TAYLOR ST
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City | CHICAGO
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State | IL
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Zip | 60612-7232
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Country | US
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Telephone | 312-996-7296
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Fax | 773-536-2406
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Provider Business Mailing Address
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Address Line | 4423 N RAVENSWOOD AVE
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City | CHICAGO
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State | IL
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Zip | 60640-5802
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Country | US
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Telephone | 773-324-6570
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Fax | 773-942-7670
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 277003263
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License Number State | IL
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