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General NPI Number Information
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NPI Number | 1891160834
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Entity Type | Individual
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Provider Name | SARA MARIE PATRIE APN
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Gender | Female
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Dates
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Enumeration Date | 12/02/2015
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Last Update Date | 09/14/2022
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Provider Practice Location Address
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Address Line | 3901 W 15TH ST
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City | PLANO
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State | TX
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Zip | 75075-7738
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Country | US
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Telephone | 972-596-6800
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Fax | 469-484-1431
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Provider Business Mailing Address
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Address Line | 3901 W 15TH ST
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City | PLANO
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State | TX
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Zip | 75075-7738
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Country | US
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Telephone | 972-596-6800
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Fax | 469-484-1431
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | AP142294
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 201804777NP-PP
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License Number State | OR
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Taxonomy #3
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | AP142294
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License Number State | TX
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