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General NPI Number Information
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NPI Number | 1801473806
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Entity Type | Individual
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Provider Name | SARA CARRANCO MD
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Gender | Female
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Dates
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Enumeration Date | 03/25/2021
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Last Update Date | 11/26/2025
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Provider Practice Location Address
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Address Line | FABEN OBSTETRICS AND GYNECOLOGY LLC 4425 MERRIMAC AVENUE
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City | JACKSONVILLE
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State | FL
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Zip | 32210
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Country | US
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Telephone | 832-826-7354
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Fax |
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Provider Business Mailing Address
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Address Line | 4425 MERRIMAC AVE
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City | JACKSONVILLE
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State | FL
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Zip | 32210-1850
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Country | US
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Telephone | 904-346-0050
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Fax | 904-346-0080
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | ME173041
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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