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General NPI Number Information
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NPI Number | 1952694861
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Entity Type | Individual
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Provider Name | SANDY R SARGENT FNP-C
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Gender | Female
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Dates
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Enumeration Date | 05/25/2011
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Last Update Date | 09/30/2016
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Provider Practice Location Address
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Address Line | 8573 E PRINCESS DR SUITE B-215
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City | SCOTTSDALE
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State | AZ
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Zip | 85255-7819
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Country | US
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Telephone | 480-563-5757
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Fax | 480-563-5851
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Provider Business Mailing Address
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Address Line | 4529 E RED RANGE WAY
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City | CAVE CREEK
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State | AZ
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Zip | 85331-5038
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Country | US
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Telephone | 480-575-8786
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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 | AP4071
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License Number State | AZ
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