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General NPI Number Information
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NPI Number | 1467399543
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Entity Type | Individual
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Provider Name | SADIE MAE HOLLINGSWORTH
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Gender | Female
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Dates
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Enumeration Date | 04/29/2026
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Last Update Date | 04/29/2026
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Provider Practice Location Address
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Address Line | 702 N GRANITE AVE
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City | GRANITE FALLS
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State | WA
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Zip | 98252-8774
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Country | US
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Telephone | 360-862-3893
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Fax | 360-862-3893
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Provider Business Mailing Address
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Address Line | 205 N ALDER AVE
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City | GRANITE FALLS
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State | WA
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Zip | 98252-8907
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Country | US
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Telephone | 360-691-7717
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Fax | 360-283-4416
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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 | 163WS0200X
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Taxonomy Name | School Registered Nurse
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License Number | 61575940
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License Number State | WA
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