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General NPI Number Information
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NPI Number | 1598355406
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Entity Type | Individual
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Provider Name | SARAH NICOLE RESSEL MSN, APRN, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 01/25/2021
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Last Update Date | 01/25/2021
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Provider Practice Location Address
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Address Line | 1318A MAIN ST
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City | SCOTT CITY
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State | MO
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Zip | 63780-1937
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Country | US
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Telephone | 573-264-5020
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Fax | 573-264-5021
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Provider Business Mailing Address
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Address Line | 714 BROADWAY ST
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City | CAPE GIRARDEAU
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State | MO
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Zip | 63701-5514
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Country | US
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Telephone | 573-264-5020
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Fax | 573-264-5021
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 2020028114
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License Number State | MO
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