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General NPI Number Information
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NPI Number | 1891669362
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Entity Type | Individual
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Provider Name | SARAH MARSILLE BSN, RN
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Gender | Female
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Dates
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Enumeration Date | 09/30/2025
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Last Update Date | 09/30/2025
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Provider Practice Location Address
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Address Line | 1200 DRIVING PARK AVE
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City | NEWARK
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State | NY
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Zip | 14513-1090
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Country | US
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Telephone | 315-332-2022
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Fax |
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Provider Business Mailing Address
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Address Line | 3431 CAMBIER RD
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City | MARION
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State | NY
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Zip | 14505-9422
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Country | US
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Telephone |
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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 | 163WM0102X
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Taxonomy Name | Maternal Newborn Registered Nurse
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License Number | 622686
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License Number State | NY
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