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General NPI Number Information
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NPI Number | 1811759657
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Entity Type | Individual
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Provider Name | SARAH JESSICA BROWN DNP, APRN, CNM, WHNP
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Gender | Female
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Dates
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Enumeration Date | 01/26/2024
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Last Update Date | 01/26/2024
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Provider Practice Location Address
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Address Line | 21660 W FIELD PKWY STE 201
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City | DEER PARK
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State | IL
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Zip | 60010-7265
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Country | US
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Telephone | 847-220-7386
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Fax |
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Provider Business Mailing Address
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Address Line | 1209 WESTLAKE DR
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City | CARY
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State | IL
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Zip | 60013-1620
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Country | US
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Telephone | 847-445-6644
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 209029235
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | 209029235
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License Number State | IL
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