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General NPI Number Information
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NPI Number | 1740683093
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Entity Type | Individual
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Provider Name | SARAH TYNDALL NP-C
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Gender | Female
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Dates
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Enumeration Date | 10/01/2014
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Last Update Date | 01/02/2022
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Provider Practice Location Address
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Address Line | 181 PASSAIC AVE
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City | SUMMIT
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State | NJ
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Zip | 07901-1200
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Country | US
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Telephone | 908-897-4056
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Fax |
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Provider Business Mailing Address
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Address Line | 2167 HUNTINGTON LN
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City | EASTON
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State | PA
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Zip | 18040-8400
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Country | US
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Telephone | 973-393-2496
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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 | 26NJ00525500
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License Number State | NJ
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