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General NPI Number Information
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NPI Number | 1962456202
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Entity Type | Individual
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Provider Name | SARAH BAUGHER WALLINGFORD PA-C
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Gender | Female
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Dates
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Enumeration Date | 05/20/2006
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Last Update Date | 03/13/2025
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Provider Practice Location Address
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Address Line | 550 N 19TH ST
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City | LINCOLN
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State | NE
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Zip | 68588-0046
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Country | US
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Telephone | 402-472-5000
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 880618
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City | LINCOLN
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State | NE
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Zip | 68588-0618
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Country | US
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Telephone | 402-472-5000
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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 | 1101
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License Number State | NE
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Taxonomy #2
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 1101
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License Number State | NE
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