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NPI 1720420649

NPI 1720420649 : SARAH NEWSOM HEALY RN, CNS, NP : SAN FRANCISCO, CA

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General NPI Number Information
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    NPI Number           |    1720420649
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    Entity Type          |    Individual 
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    Provider Name        |    SARAH NEWSOM HEALY RN, CNS, NP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/19/2013
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    Last Update Date     |    07/19/2013
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Provider Practice Location Address
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    Address Line         |    2340 CLAY ST 
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    City                 |    SAN FRANCISCO
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    State                |    CA
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    Zip                  |    94115-1932
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    Country              |    US
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    Telephone            |    415-600-1060
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    15 LOHOMA CT 
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    City                 |    HILLSBOROUGH
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    State                |    CA
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    Zip                  |    94010-7412
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    Country              |    US
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    Telephone            |    650-888-9167
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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       |    11990
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    License Number State |    CA
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