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General NPI Number Information
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NPI Number | 1720474331
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Entity Type | Individual
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Provider Name | SARAH MONROE ARNP
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Gender | Female
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Dates
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Enumeration Date | 04/09/2015
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Last Update Date | 06/08/2015
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Provider Practice Location Address
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Address Line | 555 NW LAKE WHITNEY PL SUITE 102
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City | PORT SAINT LUCIE
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State | FL
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Zip | 34986-1623
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Country | US
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Telephone | 772-873-4585
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Fax |
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Provider Business Mailing Address
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Address Line | 7058 MAIDSTONE DR
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City | PORT SAINT LUCIE
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State | FL
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Zip | 34986-3350
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Country | US
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Telephone | 772-461-1338
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | ARNP9199103
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License Number State | FL
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