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General NPI Number Information
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NPI Number | 1871199745
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Entity Type | Individual
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Provider Name | SARAH ELIZABETH FIFE PHARM. D
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Gender | Female
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Dates
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Enumeration Date | 12/07/2020
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Last Update Date | 12/07/2020
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Provider Practice Location Address
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Address Line | 960 WYOMING AVE
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City | EXETER
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State | PA
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Zip | 18643-1199
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Country | US
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Telephone | 570-654-7422
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Fax |
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Provider Business Mailing Address
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Address Line | 124 DUNN AVE
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City | OLD FORGE
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State | PA
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Zip | 18518-1804
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Country | US
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Telephone | 570-212-0583
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RP449824
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License Number State | PA
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