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General NPI Number Information
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NPI Number | 1760939441
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Entity Type | Individual
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Provider Name | SARA S KNOX FNP-C
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Gender | Female
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Dates
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Enumeration Date | 09/09/2016
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Last Update Date | 03/14/2017
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Provider Practice Location Address
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Address Line | 1712 VERNON ST
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City | WAYCROSS
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State | GA
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Zip | 31501-7358
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Country | US
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Telephone | 912-670-1738
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Fax |
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Provider Business Mailing Address
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Address Line | 1206 ALICE ST
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City | WAYCROSS
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State | GA
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Zip | 31501-4525
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Country | US
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Telephone | 912-338-9704
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Fax | 912-338-9758
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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
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License Number | RN123527
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License Number State | GA
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