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General NPI Number Information
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NPI Number | 1437661816
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Entity Type | Individual
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Provider Name | KATHRYN ELIZABETH SANFORD RN
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Gender | Female
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Dates
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Enumeration Date | 10/25/2017
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Last Update Date | 10/25/2017
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Provider Practice Location Address
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Address Line | 720 CARLSBORG RD
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City | SEQUIM
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State | WA
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Zip | 98382
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Country | US
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Telephone | 360-775-8590
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 233
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City | CARLSBORG
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State | WA
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Zip | 98324-0233
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Country | US
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Telephone | 360-775-8590
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 60018607
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License Number State | WA
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