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General NPI Number Information
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NPI Number | 1992317390
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Entity Type | Individual
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Provider Name | SARA PATRICE STARK FNP-C
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Gender | Female
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Dates
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Enumeration Date | 08/18/2020
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Last Update Date | 09/21/2023
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Provider Practice Location Address
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Address Line | 8307 BRIMHALL RD STE 1706
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City | BAKERSFIELD
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State | CA
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Zip | 93312-4343
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Country | US
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Telephone | 661-467-1477
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Fax | 661-616-9303
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Provider Business Mailing Address
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Address Line | 1301 AQUARIUS CT APT 15
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City | BAKERSFIELD
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State | CA
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Zip | 93309-3800
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Country | US
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Telephone | 661-444-0094
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 95015171
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 95015171
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License Number State | CA
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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 | 95015171
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 95015171
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License Number State | CA
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