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General NPI Number Information
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NPI Number | 1861737108
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Entity Type | Individual
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Provider Name | SARAH J ESCARENO APNP
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Gender | Female
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Dates
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Enumeration Date | 11/27/2012
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Last Update Date | 01/09/2019
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Provider Practice Location Address
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Address Line | 6400 W ENTERPRISE DR FL 1
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City | MEQUON
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State | WI
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Zip | 53092-4400
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Country | US
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Telephone | 262-512-8138
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Fax | 262-512-2219
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Provider Business Mailing Address
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Address Line | N64W23110 MAIN ST
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City | SUSSEX
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State | WI
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Zip | 53089-3230
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Country | US
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Telephone | 414-566-8103
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Fax | 262-512-2219
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 5162
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License Number State | WI
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