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General NPI Number Information
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NPI Number | 1568835353
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Entity Type | Individual
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Provider Name | SARAH ASHLEY WROCLAWSKI WHNP-BC, CNM
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Gender | Female
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Dates
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Enumeration Date | 11/03/2015
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Last Update Date | 05/16/2019
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Provider Practice Location Address
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Address Line | 300 JUBILEE DR
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City | PEABODY
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State | MA
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Zip | 01960-4030
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Country | US
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Telephone | 860-789-3148
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Fax |
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Provider Business Mailing Address
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Address Line | 90 COLUMBIA AVE
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City | NUTLEY
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State | NJ
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Zip | 07110-2524
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Country | US
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Telephone | 860-789-3148
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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 | 26NR19959700
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | RN2295674
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License Number State | MA
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Taxonomy #3
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | F001862-1
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | 25ME00064400
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License Number State | NJ
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