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General NPI Number Information
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NPI Number | 1740895960
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Entity Type | Individual
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Provider Name | SARA LYN YAKUBEK APRN
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Gender | Female
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Dates
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Enumeration Date | 09/14/2020
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Last Update Date | 10/09/2021
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Provider Practice Location Address
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Address Line | 11100 EUCLID AVE
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City | CLEVELAND
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State | OH
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Zip | 44106-1716
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Country | US
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Telephone | 216-884-3722
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Fax |
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Provider Business Mailing Address
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Address Line | 3284 MEADOWBROOK BLVD
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City | CLEVELAND HEIGHTS
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State | OH
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Zip | 44118-3432
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Country | US
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Telephone | 330-388-9082
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | APRN.CNP.0027450
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License Number State | OH
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