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General NPI Number Information
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NPI Number | 1689773301
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Entity Type | Individual
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Provider Name | SARAH E VERBURG FNP
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Gender | Female
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Dates
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Enumeration Date | 09/21/2006
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Last Update Date | 05/15/2021
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Provider Practice Location Address
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Address Line | 1005 W. GREEN ST STE 304
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City | HASTINGS
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State | MI
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Zip | 49058
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Country | US
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Telephone | 269-948-8057
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Fax | 269-331-6315
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Provider Business Mailing Address
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Address Line | 1005 W. GREEN ST STE 304
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City | HASTINGS
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State | MI
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Zip | 49058
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Country | US
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Telephone | 269-948-8057
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Fax | 269-331-6315
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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 | MI43032332
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 4704208860
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License Number State | MI
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