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General NPI Number Information
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NPI Number | 1932912995
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Entity Type | Individual
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Provider Name | SARA GAUTIER PMHNP-BC APRN
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Gender | Female
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Dates
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Enumeration Date | 01/31/2025
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Last Update Date | 07/03/2025
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Provider Practice Location Address
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Address Line | 115 W MAIN ST
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City | HANCOCK
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State | MD
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Zip | 21750-1416
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Country | US
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Telephone | 240-738-0953
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Fax | 240-343-9095
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Provider Business Mailing Address
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Address Line | PO BOX 86
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City | UNIONVILLE
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State | VA
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Zip | 22567-0086
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Country | US
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Telephone | 571-207-6829
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | AC007514
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 122010
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License Number State | WV
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 0024192736
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License Number State | VA
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