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General NPI Number Information
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NPI Number | 1164704169
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Entity Type | Individual
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Provider Name | SARAH MATTHEA PERLMAN CNP
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Gender | Female
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Dates
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Enumeration Date | 09/15/2011
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Last Update Date | 07/15/2025
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Provider Practice Location Address
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Address Line | 1420 AHTANUM RIDGE DR
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City | UNION GAP
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State | WA
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Zip | 98903-1839
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Country | US
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Telephone | 509-454-7700
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Fax | 509-454-7710
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Provider Business Mailing Address
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Address Line | PO BOX 1138
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City | MORTON
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State | WA
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Zip | 98356-0019
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Country | US
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Telephone |
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | RX.12563-EX1
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | AP61622317
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License Number State | WA
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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 | COA.12563-NP
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License Number State | OH
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP61622317
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License Number State | WA
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