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General NPI Number Information
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NPI Number | 1962192245
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Entity Type | Individual
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Provider Name | SARAH NABIL ABUKHADER PA-C
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Gender | Female
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Dates
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Enumeration Date | 05/10/2023
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Last Update Date | 04/22/2024
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Provider Practice Location Address
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Address Line | 120 OCHSNER BLVD
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City | GRETNA
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State | LA
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Zip | 70056-5255
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Country | US
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Telephone | 504-595-8163
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Fax |
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Provider Business Mailing Address
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Address Line | 1514 JEFFERSON HWY
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City | NEW ORLEANS
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State | LA
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Zip | 70121-2429
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Country | US
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Telephone | 504-842-4000
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 339465
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License Number State | LA
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