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General NPI Number Information
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NPI Number | 1972858397
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Entity Type | Individual
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Provider Name | SARAH BETH NACE PA-C
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Gender | Female
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Dates
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Enumeration Date | 07/23/2012
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Last Update Date | 08/08/2025
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Provider Practice Location Address
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Address Line | 701 W FOREVERGREEN RD
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City | NORTH LIBERTY
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State | IA
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Zip | 52317-9848
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Country | US
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Telephone | 319-356-4019
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Fax | 319-356-3949
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Provider Business Mailing Address
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Address Line | 200 HAWKINS DR
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City | IOWA CITY
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State | IA
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Zip | 52242-1009
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Country | US
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Telephone |
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 51391
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License Number State | CA
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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 | 002285
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License Number State | IA
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