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General NPI Number Information
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NPI Number | 1548532344
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Entity Type | Individual
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Provider Name | SARAH FRANCES D'AMBRUOSO RN, NP
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Gender | Female
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Dates
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Enumeration Date | 02/08/2012
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Last Update Date | 12/30/2013
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Provider Practice Location Address
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Address Line | 1260 15TH ST
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City | SANTA MONICA
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State | CA
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Zip | 90404-1135
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Country | US
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Telephone | 424-259-9520
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Fax |
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Provider Business Mailing Address
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Address Line | 1260 15TH ST
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City | SANTA MONICA
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State | CA
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Zip | 90404-1135
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Country | US
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Telephone | 424-259-9520
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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 | 747029
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License Number State | CA
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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 | 95000079
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License Number State | CA
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