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NPI 1356495568

NPI 1356495568 : SANDRA K SAFFRAN ARNP, PH.D., PC : YAKIMA, WA

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General NPI Number Information
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    NPI Number           |    1356495568
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    Entity Type          |    Individual 
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    Provider Name        |    SANDRA K SAFFRAN ARNP, PH.D., PC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    01/23/2007
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    Last Update Date     |    01/18/2013
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Provider Practice Location Address
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    Address Line         |    4601 TIETON DR 
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    City                 |    YAKIMA
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    State                |    WA
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    Zip                  |    98908-3477
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    Country              |    US
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    Telephone            |    509-452-2404
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    Fax                  |    509-452-2409
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Provider Business Mailing Address
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    Address Line         |    4601 TIETON DR 
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    City                 |    YAKIMA
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    State                |    WA
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    Zip                  |    98908-3477
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    Country              |    US
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    Telephone            |    509-452-2404
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    Fax                  |    509-452-2409
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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        |    163WP0808X
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    Taxonomy Name        |    Psychiatric/Mental Health Registered Nurse
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    License Number       |    AP30005001
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    License Number State |    WA
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Taxonomy #2
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    Taxonomy Code        |    163W00000X
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    Taxonomy Name        |    Registered Nurse
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    License Number       |    RN00059138
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    License Number State |    WA
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Taxonomy #3
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    Taxonomy Code        |    2084P0800X
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    Taxonomy Name        |    Psychiatry Physician
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    License Number       |    AP30005001
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    License Number State |    WA
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