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General NPI Number Information
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NPI Number | 1730214685
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Entity Type | Individual
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Provider Name | REBECCA S SARABIA WHNP
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Gender | Female
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Dates
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Enumeration Date | 02/22/2007
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Last Update Date | 01/29/2018
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Provider Practice Location Address
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Address Line | 4901 FOREST PARK AVE STE 341 STE 341
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City | SAINT LOUIS
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State | MO
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Zip | 63108-1453
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Country | US
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Telephone | 314-454-7882
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Fax | 314-454-5167
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Provider Business Mailing Address
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Address Line | 660 S EUCLID AVE C B 8064
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City | SAINT LOUIS
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State | MO
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Zip | 63110-1010
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Country | US
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Telephone | 314-454-7882
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Fax | 314-454-5167
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 146157
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License Number State | MO
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