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General NPI Number Information
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NPI Number | 1881105815
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Entity Type | Individual
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Provider Name | SARAH CECILIA BENNETT NMD
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Gender | Female
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Dates
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Enumeration Date | 10/17/2017
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Last Update Date | 10/03/2019
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Provider Practice Location Address
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Address Line | 3226 N MILLER RD STE 5
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City | SCOTTSDALE
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State | AZ
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Zip | 85251-6930
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Country | US
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Telephone | 480-630-9093
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Fax | 480-485-9198
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Provider Business Mailing Address
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Address Line | 815 N 52ND ST APT 2312
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City | PHOENIX
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State | AZ
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Zip | 85008-7944
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Country | US
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Telephone | 574-850-4449
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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 | 175F00000X
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Taxonomy Name | Naturopath
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License Number | 17-1666
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License Number State | AZ
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