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General NPI Number Information
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NPI Number | 1801520762
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Entity Type | Individual
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Provider Name | SARKIS MAKAROVICH DNP-FNP
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Gender | Male
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Dates
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Enumeration Date | 07/14/2022
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Last Update Date | 02/20/2025
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Provider Practice Location Address
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Address Line | 710 LAWRENCE EXPY
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City | SANTA CLARA
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State | CA
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Zip | 95051-5173
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Country | US
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Telephone | 408-464-5155
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Fax |
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Provider Business Mailing Address
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Address Line | 9099 SOLEDAD ST
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City | GILROY
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State | CA
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Zip | 95020-7414
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Country | US
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Telephone | 408-464-5155
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 95034044
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 163WP0200X
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Taxonomy Name | Pediatric Registered Nurse
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License Number | 95123510
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License Number State | CA
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