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General NPI Number Information
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NPI Number | 1710752175
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Entity Type | Individual
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Provider Name | SULTANA SABER
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Gender | Female
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Dates
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Enumeration Date | 11/16/2023
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Last Update Date | 02/27/2026
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Provider Practice Location Address
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Address Line | 1215 HEALTHCARE PL STE 101
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City | FORT WAYNE
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State | IN
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Zip | 46804-7789
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Country | US
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Telephone | 260-425-2690
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Fax | 260-425-2691
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Provider Business Mailing Address
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Address Line | 10823 LUPINE LN
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City | FORT WAYNE
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State | IN
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Zip | 46804-4975
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Country | US
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Telephone | 260-417-8068
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 71015050A
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License Number State | IN
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