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General NPI Number Information
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NPI Number | 1588168926
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Entity Type | Individual
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Provider Name | SARAH WHITEFORD CRNA
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Gender | Female
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Dates
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Enumeration Date | 03/21/2018
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Last Update Date | 06/12/2018
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Provider Practice Location Address
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Address Line | 4401 PENN AVE
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City | PITTSBURGH
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State | PA
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Zip | 15224
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Country | US
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Telephone | 412-692-5620
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Fax |
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Provider Business Mailing Address
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Address Line | 16 WHEATFIELD DR
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City | CRANBERRY TOWNSHIP
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State | PA
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Zip | 16066-4080
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Country | US
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Telephone | 724-766-6064
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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 | RN641743
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 121718
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License Number State | PA
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