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General NPI Number Information
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NPI Number | 1659025112
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Entity Type | Individual
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Provider Name | SARAH K GUEVARA FNP
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Gender | Female
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Dates
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Enumeration Date | 02/03/2022
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Last Update Date | 05/26/2022
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Provider Practice Location Address
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Address Line | 399 REID RD
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City | JUNCTION
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State | TX
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Zip | 76849-3049
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Country | US
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Telephone | 325-446-3305
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 194
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City | MENARD
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State | TX
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Zip | 76859-0194
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Country | US
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Telephone | 325-374-0336
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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 | 1069746
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License Number State | TX
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