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General NPI Number Information
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NPI Number | 1841714763
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Entity Type | Individual
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Provider Name | SARAH STAPLES
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Gender | Female
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Dates
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Enumeration Date | 08/02/2017
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Last Update Date | 08/02/2017
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Provider Practice Location Address
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Address Line | 40 CUMBERLAND AVE
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City | NORTH ATTLEBORO
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State | MA
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Zip | 02760-4445
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Country | US
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Telephone | 508-455-4009
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Fax |
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Provider Business Mailing Address
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Address Line | 145 ROGER WILLIAMS AVE APT 2
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City | RUMFORD
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State | RI
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Zip | 02916-3415
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Country | US
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Telephone | 207-460-9705
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA6215
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License Number State | MA
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