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General NPI Number Information
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NPI Number | 1881106037
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Entity Type | Individual
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Provider Name | SARAH SEIBERLING FULTON HORAN CPNP
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Gender | Female
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Dates
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Enumeration Date | 10/27/2017
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Last Update Date | 08/09/2023
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Provider Practice Location Address
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Address Line | 4687 POUNCEY TRACT RD
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City | GLEN ALLEN
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State | VA
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Zip | 23059-5802
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Country | US
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Telephone | 434-806-7734
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Fax |
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Provider Business Mailing Address
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Address Line | 5854 BUFFALO RIVER RD
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City | EARLYSVILLE
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State | VA
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Zip | 22936-1703
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Country | US
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Telephone | 434-806-7734
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 0024175375
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License Number State | VA
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