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General NPI Number Information
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NPI Number | 1659179844
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Entity Type | Individual
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Provider Name | SARAH FERNANDEZ
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Gender | Female
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Dates
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Enumeration Date | 03/04/2025
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Last Update Date | 03/04/2025
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Provider Practice Location Address
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Address Line | 60 REVERE DR STE 907
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City | NORTHBROOK
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State | IL
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Zip | 60062-1581
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Country | US
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Telephone | 224-213-7070
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Fax |
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Provider Business Mailing Address
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Address Line | 4324 N OAKLEY AVE APT 1
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City | CHICAGO
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State | IL
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Zip | 60618-1620
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Country | US
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Telephone | 805-280-9311
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number |
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License Number State | IL
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