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General NPI Number Information
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NPI Number | 1023405867
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Entity Type | Organization
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Legal Business Name | SARAH NEITZEL, DPM, PLLC
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Dates
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Enumeration Date | 04/20/2015
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Last Update Date | 09/22/2022
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Provider Practice Location Address
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Address Line | 2416 NW MYHRE RD SUITE 160
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City | SILVERDALE
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State | WA
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Zip | 98383
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Country | US
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Telephone | 360-286-0404
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Fax | 360-859-0333
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Provider Business Mailing Address
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Address Line | 2416 NW MYHRE RD SUITE 160
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City | SILVERDALE
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State | WA
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Zip | 98383
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Country | US
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Telephone | 360-286-0404
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Fax | 360-859-0333
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Authorized Official
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Title or Position | MANAGER
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Name | SARAH NEITZEL
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Credential | DPM
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Telephone | 360-286-0404
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number |
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License Number State |
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