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General NPI Number Information
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NPI Number | 1972082626
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Entity Type | Individual
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Provider Name | SARA ESTEBAN-MOORE RN
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Gender | Female
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Dates
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Enumeration Date | 08/13/2018
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Last Update Date | 11/19/2018
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Provider Practice Location Address
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Address Line | 4310 JAMES CASEY ST STE 4A
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City | AUSTIN
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State | TX
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Zip | 78745-1120
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Country | US
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Telephone | 512-448-4588
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Fax | 512-445-4511
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Provider Business Mailing Address
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Address Line | 9211 WATERFORD CENTRE BLVD STE 200
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City | AUSTIN
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State | TX
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Zip | 78758-7667
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Country | US
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Telephone | 512-485-5889
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Fax | 512-420-0397
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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 | 364SA2200X
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Taxonomy Name | Adult Health Clinical Nurse Specialist
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License Number | AP138288
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License Number State | TX
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