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General NPI Number Information
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NPI Number | 1619431772
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Entity Type | Individual
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Provider Name | SARAH M ACKER NP
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Gender | Female
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Dates
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Enumeration Date | 01/23/2019
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Last Update Date | 05/07/2026
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Provider Practice Location Address
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Address Line | 714 N SENATE AVE STE 100
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City | INDIANAPOLIS
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State | IN
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Zip | 46202-3297
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Country | US
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Telephone | 317-630-7382
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Fax |
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Provider Business Mailing Address
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Address Line | 6655 E SPRING LAKE RD
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City | MOORESVILLE
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State | IN
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Zip | 46158-6205
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Country | US
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Telephone |
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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 | 28220308A
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License Number State | IN
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