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General NPI Number Information
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NPI Number | 1689349193
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Entity Type | Individual
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Provider Name | SARAH JIRINZU CARRATALA
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Gender | Female
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Dates
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Enumeration Date | 08/16/2021
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Last Update Date | 12/05/2024
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Provider Practice Location Address
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Address Line | 15500 VOSS RD STE.200, #1079
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City | SUGARLAND
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State | TX
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Zip | 77498-2258
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Country | US
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Telephone | 214-764-6810
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Fax | 214-764-8496
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Provider Business Mailing Address
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Address Line | 15500 VOSS RD STE.200, #1079
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City | SUGARLAND
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State | TX
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Zip | 77498-2258
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Country | US
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Telephone | 214-764-6810
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Fax | 214-764-8496
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 1050277
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License Number State | TX
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