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General NPI Number Information
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NPI Number | 1861937534
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Entity Type | Individual
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Provider Name | MRS. SARAH ADUKU
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Gender | Female
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Dates
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Enumeration Date | 01/04/2017
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Last Update Date | 03/01/2022
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Provider Practice Location Address
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Address Line | 2922 MLK JR BLVD BLDG B
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City | DALLAS
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State | TX
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Zip | 75215-2321
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Country | US
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Telephone | 972-588-4532
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Fax |
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Provider Business Mailing Address
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Address Line | 1650 ROUND ROCK AVE STE 200
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City | ROUND ROCK
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State | TX
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Zip | 78681-4082
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Country | US
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Telephone |
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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 | 132578
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License Number State | TX
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