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General NPI Number Information
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NPI Number | 1841535556
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Entity Type | Individual
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Provider Name | SARAH DEFELICE
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Gender | Female
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Dates
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Enumeration Date | 12/06/2012
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Last Update Date | 03/18/2026
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Provider Practice Location Address
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Address Line | 73 DOROTHY ST
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City | BETHPAGE
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State | NY
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Zip | 11714-2926
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Country | US
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Telephone | 516-286-0372
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Fax |
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Provider Business Mailing Address
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Address Line | 2808 SE ASHFIELD DR
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City | PORT ST LUCIE
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State | FL
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Zip | 34984
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Country | US
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Telephone | 516-236-8464
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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 | 11044759
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License Number State | FL
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