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General NPI Number Information
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NPI Number | 1558474163
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Entity Type | Individual
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Provider Name | REBECCA E SARICH RN, CNM
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Gender | Female
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Dates
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Enumeration Date | 08/16/2006
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Last Update Date | 10/16/2025
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Provider Practice Location Address
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Address Line | 2010 DOCTOR OATES DR STE 105
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City | MARTINSBURG
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State | WV
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Zip | 25401-8896
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Country | US
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Telephone | 304-596-5780
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Fax |
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Provider Business Mailing Address
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Address Line | 2 MEDICAL CENTER DR SUITE 202
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City | SPRINGFIELD
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State | MA
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Zip | 01107-1270
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Country | US
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Telephone | 413-205-1200
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 112078
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License Number State | WV
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Taxonomy #2
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | 000281
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License Number State | CT
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 2269658
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License Number State | MA
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Taxonomy #4
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 071319
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License Number State | CT
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