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General NPI Number Information
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NPI Number | 1275057895
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Entity Type | Individual
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Provider Name | SARA KRISTINA EMEDI FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 07/26/2017
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Last Update Date | 04/28/2025
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Provider Practice Location Address
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Address Line | 606 OAKESDALE AVE SW STE C200
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City | RENTON
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State | WA
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Zip | 98057-5227
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Country | US
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Telephone | 855-396-9643
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Fax | 855-998-4362
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Provider Business Mailing Address
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Address Line | 1876 STANHOPE ST
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City | GROSSE POINTE WOODS
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State | MI
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Zip | 48236-1906
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Country | US
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Telephone | 586-219-9297
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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 | 4704242092
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP61550102
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License Number State | WA
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