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General NPI Number Information
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NPI Number | 1811532708
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Entity Type | Individual
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Provider Name | SARA COULTER PHARMD
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Gender | Female
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Dates
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Enumeration Date | 11/14/2019
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Last Update Date | 11/14/2019
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Provider Practice Location Address
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Address Line | 350 S BROADWAY
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City | TARRYTOWN
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State | NY
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Zip | 10591-5601
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Country | US
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Telephone | 914-333-8914
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Fax |
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Provider Business Mailing Address
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Address Line | 155 HARDING AVE APT 1G
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City | WHITE PLAINS
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State | NY
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Zip | 10606-1724
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Country | US
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Telephone | 347-752-3451
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 064413
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License Number State | NY
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