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General NPI Number Information
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NPI Number | 1366185886
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Entity Type | Individual
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Provider Name | SIRENA S SAGDAHL ARNP
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Gender | Female
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Dates
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Enumeration Date | 04/14/2022
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Last Update Date | 04/14/2022
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Provider Practice Location Address
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Address Line | 6240 TACOMA MALL BLVD
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City | TACOMA
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State | WA
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Zip | 98409-6819
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Country | US
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Telephone | 253-271-9720
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Fax |
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Provider Business Mailing Address
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Address Line | 3455 RINGSBY CT STE 101C
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City | DENVER
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State | CO
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Zip | 80216-4923
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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 | AP61285625
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License Number State | WA
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