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General NPI Number Information
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NPI Number | 1942635016
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Entity Type | Individual
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Provider Name | SARAH GARDNER
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Gender | Female
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Dates
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Enumeration Date | 09/09/2013
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Last Update Date | 07/24/2025
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Provider Practice Location Address
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Address Line | 2831 ALLEGRA WAY STE 209
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City | LUTZ
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State | FL
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Zip | 33559-6999
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Country | US
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Telephone | 813-444-8530
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Fax | 813-756-2708
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Provider Business Mailing Address
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Address Line | 21824 WAVERLY SHORES LN
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City | LAND O LAKES
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State | FL
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Zip | 34637-7562
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Country | US
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Telephone | 650-814-2559
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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 | 363LX0001X
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Taxonomy Name | Obstetrics & Gynecology Nurse Practitioner
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License Number | 9367638
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License Number State | FL
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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 | ARNP9367638
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License Number State | FL
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