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General NPI Number Information
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NPI Number | 1932963824
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Entity Type | Individual
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Provider Name | SANDRA FERRIS CRNP
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Gender | Female
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Dates
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Enumeration Date | 02/12/2024
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Last Update Date | 12/03/2024
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Provider Practice Location Address
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Address Line | 913 N MARKET ST STE 200
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City | WILMINGTON
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State | DE
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Zip | 19801-3097
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Country | US
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Telephone | 877-345-5300
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Fax |
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Provider Business Mailing Address
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Address Line | 1392 HICKORY HILL RD
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City | CHADDS FORD
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State | PA
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Zip | 19317-9367
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Country | US
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Telephone | 302-535-5396
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | L1-0068065
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License Number State | DE
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | SP031470
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License Number State | PA
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