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General NPI Number Information
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NPI Number | 1740915339
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Entity Type | Individual
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Provider Name | SARAH ELIZABETH NYQUIST
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Gender | Female
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Dates
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Enumeration Date | 07/19/2022
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Last Update Date | 03/05/2024
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Provider Practice Location Address
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Address Line | 2011 N COLLINS BLVD STE 607
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City | RICHARDSON
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State | TX
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Zip | 75080-2636
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Country | US
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Telephone | 800-640-3451
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Fax |
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Provider Business Mailing Address
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Address Line | 3304 CRYSTAL HILL DR
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City | CEDAR PARK
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State | TX
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Zip | 78613-4364
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Country | US
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Telephone | 512-745-9953
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 1087905
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License Number State | TX
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