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General NPI Number Information
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NPI Number | 1720336613
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Entity Type | Individual
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Provider Name | SARA BONNETTE ZITO FNP-C
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Gender | Female
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Dates
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Enumeration Date | 08/27/2012
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Last Update Date | 08/30/2022
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Provider Practice Location Address
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Address Line | 3033 JACKSON ST
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City | ALEXANDRIA
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State | LA
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Zip | 71301-4744
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Country | US
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Telephone | 318-767-2000
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Fax | 318-442-5766
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Provider Business Mailing Address
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Address Line | 6932 MONROE HWY
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City | BALL
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State | LA
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Zip | 71405-3232
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Country | US
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Telephone | 318-419-8937
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Fax | 318-442-5766
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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 | AP06917
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License Number State | LA
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