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General NPI Number Information
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NPI Number | 1710389903
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Entity Type | Individual
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Provider Name | SARAH ANNETTE RANSOM PHYSICIAN ASSISTANT
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Gender | Female
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Dates
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Enumeration Date | 09/19/2014
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Last Update Date | 10/25/2022
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Provider Practice Location Address
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Address Line | 1600 SW ARCHER RD
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City | GAINESVILLE
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State | FL
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Zip | 32610-4392
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Country | US
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Telephone | 352-265-0761
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Fax |
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Provider Business Mailing Address
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Address Line | 3005 AMBROSE AVE
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City | NASHVILLE
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State | TN
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Zip | 37207-4709
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Country | US
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Telephone | 844-673-6968
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Fax | 844-673-6968
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA9107992
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License Number State | FL
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