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General NPI Number Information
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NPI Number | 1932490927
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Entity Type | Individual
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Provider Name | SARAH PIERSON
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Gender | Female
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Dates
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Enumeration Date | 04/25/2011
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Last Update Date | 04/25/2011
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Provider Practice Location Address
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Address Line | 2661 FM 2054
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City | TENNESSEE COLONY
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State | TX
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Zip | 75884-5000
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Country | US
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Telephone | 903-928-2211
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Fax |
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Provider Business Mailing Address
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Address Line | 409 COUNTY ROAD 1845
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City | GRAPELAND
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State | TX
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Zip | 75844-7407
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Country | US
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Telephone | 936-687-2356
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 670865
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License Number State | TX
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