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General NPI Number Information
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NPI Number | 1639833783
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Entity Type | Individual
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Provider Name | SARAH DREW NP
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Gender | Female
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Dates
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Enumeration Date | 10/25/2021
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Last Update Date | 03/25/2022
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Provider Practice Location Address
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Address Line | 50 BUCK CREEK RD STE 200
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City | AVON
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State | CO
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Zip | 81620-5428
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Country | US
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Telephone | 709-266-3409
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Fax | 970-926-6348
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Provider Business Mailing Address
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Address Line | 2108 CRAZY HORSE CIR
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City | EDWARDS
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State | CO
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Zip | 81632-8086
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Country | US
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Telephone | 970-401-3944
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 0997039
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APN.0997039
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License Number State | CO
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