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NPI Code Detail

MEDICARE: SARAH FLORA TULUENGA

MEDICARE:   SARAH FLORA TULUENGA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant

General Provider Information

NPI Number : 1124807581
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH FLORA TULUENGA
Provider Business Mailing Address
First Line : 7829 PENCE POND LN
Second Line :
City : CHARLOTTE
State : NC
Zip : 28227-2450
Country : US
Telephone Number : 980-875-0613
Fax Number :
Provider Business Practice Location Address
First Line : 7829 PENCE POND LN
Second Line :
City : CHARLOTTE
State : NC
Zip : 28227-2450
Country : US
Telephone Number : 980-875-0613
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/25/2023
Last Update Date : 02/05/2026

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Directions to “ SARAH FLORA TULUENGA ” Practice Location

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