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General NPI Number Information
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NPI Number | 1992252852
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Entity Type | Individual
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Provider Name | SARA B. MCCALLEY FNP
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Gender | Female
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Dates
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Enumeration Date | 09/07/2016
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Last Update Date | 10/28/2025
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Provider Practice Location Address
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Address Line | 281 US HIGHWAY 60 W
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City | REPUBLIC
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State | MO
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Zip | 65738-1432
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Country | US
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Telephone | 417-501-9042
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Fax | 417-708-0815
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Provider Business Mailing Address
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Address Line | 281 US HIGHWAY 60 W
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City | REPUBLIC
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State | MO
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Zip | 65738-1432
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Country | US
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Telephone | 417-501-9042
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Fax | 417-708-0815
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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 | F06170002
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 2013023603
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License Number State | MO
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 2017017451
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License Number State | MO
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