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General NPI Number Information
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NPI Number | 1962149021
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Entity Type | Individual
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Provider Name | SARAH JEAN MCMURTRY APRN
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Gender | Female
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Dates
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Enumeration Date | 05/19/2022
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Last Update Date | 05/19/2022
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Provider Practice Location Address
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Address Line | 11201 S EASTERN AVE STE 110
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City | HENDERSON
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State | NV
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Zip | 89052-6200
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Country | US
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Telephone | 702-992-3688
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Fax |
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Provider Business Mailing Address
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Address Line | 11132 CATAYA CT
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City | LAS VEGAS
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State | NV
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Zip | 89141-3972
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Country | US
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Telephone | 702-355-7799
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 854043
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License Number State | NV
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