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General NPI Number Information
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NPI Number | 1558983536
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Entity Type | Individual
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Provider Name | SARA MICHELLE ALLEN-DUTCHER
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Gender | Female
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Dates
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Enumeration Date | 05/12/2020
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Last Update Date | 12/02/2025
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Provider Practice Location Address
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Address Line | 1600 E CITRUS AVE STE A
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City | REDLANDS
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State | CA
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Zip | 92374-4802
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Country | US
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Telephone | 909-794-3628
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Fax | 909-389-1317
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Provider Business Mailing Address
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Address Line | PO BOX 35380
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City | LAS VEGAS
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State | NV
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Zip | 89133-5380
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Country | US
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Telephone | 702-579-3203
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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 | 95032212
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 163WC0200X
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Taxonomy Name | Critical Care Medicine Registered Nurse
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License Number | 95204737
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License Number State | CA
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