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General NPI Number Information
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NPI Number | 1871376400
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Entity Type | Individual
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Provider Name | SARAH WEAVER
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Gender | Female
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Dates
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Enumeration Date | 08/16/2023
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Last Update Date | 10/26/2025
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Provider Practice Location Address
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Address Line | 605 E 4TH ST
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City | ODESSA
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State | TX
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Zip | 79761-5100
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Country | US
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Telephone | 432-614-6950
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Fax |
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Provider Business Mailing Address
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Address Line | 3600 N GARFIELD ST
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City | MIDLAND
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State | TX
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Zip | 79705-6329
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Country | US
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Telephone | 432-620-1120
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA19705
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License Number State | TX
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