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NPI Code Detail

MEDICARE: SARAH ELIZABETH DUNN PA-C

MEDICARE:   SARAH ELIZABETH DUNN  PA-C
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
1363AM0700XMedical Physician Assistant0010-10704NC
2363A00000XPhysician Assistant0010-10704NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1225620818
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH ELIZABETH DUNN PA-C
Provider Business Mailing Address
First Line : 100 S BOYLAN AVE
Second Line :
City : RALEIGH
State : NC
Zip : 27603-1802
Country : US
Telephone Number : 919-833-7526
Fax Number :
Provider Business Practice Location Address
First Line : 100 S BOYLAN AVE
Second Line :
City : RALEIGH
State : NC
Zip : 27603-1802
Country : US
Telephone Number : 919-833-7526
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/05/2021
Last Update Date : 10/04/2023

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Directions to “ SARAH ELIZABETH DUNN PA-C” Practice Location

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