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General NPI Number Information
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NPI Number | 1972064202
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Entity Type | Individual
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Provider Name | SARAH ROSE CASTLE APRN
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Gender | Female
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Dates
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Enumeration Date | 03/28/2019
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Last Update Date | 01/19/2023
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Provider Practice Location Address
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Address Line | 404 N CHESTNUT ST
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City | JOHNSON CITY
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State | KS
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Zip | 67855
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Country | US
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Telephone | 620-492-6250
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Fax |
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Provider Business Mailing Address
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Address Line | 1324 14TH ST
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City | HOXIE
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State | KS
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Zip | 67740-4309
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Country | US
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Telephone | 785-675-1049
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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 | 251E00000X
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Taxonomy Name | Home Health Agency
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 53-81802-092
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License Number State | KS
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