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General NPI Number Information
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NPI Number | 1801557905
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Entity Type | Individual
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Provider Name | SARAH DANIELLE LEGRAND AGACNP-BC
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Gender | Female
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Dates
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Enumeration Date | 01/01/2022
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Last Update Date | 01/01/2022
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Provider Practice Location Address
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Address Line | 10510 N 92ND ST
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City | SCOTTSDALE
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State | AZ
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Zip | 85258-4566
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Country | US
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Telephone | 480-323-1350
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Fax |
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Provider Business Mailing Address
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Address Line | 8138 E VIA SONRISA
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City | SCOTTSDALE
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State | AZ
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Zip | 85258-3725
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Country | US
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Telephone | 847-951-7655
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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 | 163WX0200X
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Taxonomy Name | Oncology Registered Nurse
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License Number | RN168637
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 263664
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License Number State | AZ
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