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General NPI Number Information
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NPI Number | 1982274056
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Entity Type | Individual
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Provider Name | SARA ANNE MUNOZ AGACNP-BC
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Gender | Female
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Dates
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Enumeration Date | 06/30/2021
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Last Update Date | 02/07/2023
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Provider Practice Location Address
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Address Line | 1215 E MICHIGAN AVE
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City | LANSING
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State | MI
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Zip | 48912-1811
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Country | US
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Telephone | 517-364-5527
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Fax |
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Provider Business Mailing Address
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Address Line | 1200 E MICHIGAN AVE STE 700
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City | LANSING
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State | MI
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Zip | 48912-1837
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 4704311274
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License Number State | MI
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