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General NPI Number Information
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NPI Number | 1669734158
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Entity Type | Individual
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Provider Name | SARAH R COLSON NP
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Gender | Female
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Dates
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Enumeration Date | 06/12/2012
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Last Update Date | 02/11/2025
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Provider Practice Location Address
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Address Line | 74785 US HIGHWAY 111 STE 101
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City | INDIAN WELLS
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State | CA
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Zip | 92210-7129
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Country | US
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Telephone | 760-776-8989
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Fax |
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Provider Business Mailing Address
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Address Line | 5807 MCDONALD RD
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City | HAHIRA
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State | GA
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Zip | 31632-3627
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | NCO-000001
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License Number State | GA
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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 | 95027397
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License Number State | CA
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