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General NPI Number Information
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NPI Number | 1538650049
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Entity Type | Individual
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Provider Name | LAURA ROCHELLE SAUVAGE DDS
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Gender | Female
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Dates
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Enumeration Date | 05/21/2018
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Last Update Date | 04/16/2023
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Provider Practice Location Address
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Address Line | 1830 BROADWAY STE 101
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City | SEATTLE
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State | WA
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Zip | 98122-2416
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Country | US
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Telephone | 206-283-9278
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Fax |
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Provider Business Mailing Address
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Address Line | 1210 22ND AVE E
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City | SEATTLE
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State | WA
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Zip | 98112-3535
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Country | US
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Telephone | 206-484-2116
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DE60877926
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License Number State | WA
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