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General NPI Number Information
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NPI Number | 1962533620
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Entity Type | Individual
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Provider Name | SARA FEHRMAN CFNP
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Gender | Female
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Dates
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Enumeration Date | 03/07/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 707 S UNIVERSITY AVE
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City | BEAVER DAM
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State | WI
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Zip | 53916-3027
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Country | US
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Telephone | 920-887-7181
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Fax | 920-887-4143
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Provider Business Mailing Address
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Address Line | 497 S MAIN ST
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City | JUNEAU
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State | WI
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Zip | 53039-1014
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Country | US
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Telephone | 920-386-9623
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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 | 0365398-22
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License Number State | WI
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