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General NPI Number Information
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NPI Number | 1760612337
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Entity Type | Individual
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Provider Name | SARA NEWMAN NP
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Gender | Female
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Dates
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Enumeration Date | 07/17/2009
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Last Update Date | 07/17/2009
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Provider Practice Location Address
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Address Line | 40 BIRCHARD AVE
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City | STATEN ISLAND
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State | NY
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Zip | 10314-4137
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Country | US
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Telephone | 718-370-0904
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Fax |
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Provider Business Mailing Address
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Address Line | 9020 ELMHURST AVE
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City | JACKSON HEIGHTS
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State | NY
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Zip | 11372-7936
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Country | US
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Telephone | 718-458-7070
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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 | 304710
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License Number State | NY
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