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NPI 1548234693

NPI 1548234693 : SARAH B POYEN M.D. : STANWOOD, WA

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General NPI Number Information
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    NPI Number           |    1548234693
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    Entity Type          |    Individual 
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    Provider Name        |    SARAH B POYEN M.D.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    02/15/2006
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    Last Update Date     |    05/09/2025
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Provider Practice Location Address
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    Address Line         |    7205 265TH ST NW 
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    City                 |    STANWOOD
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    State                |    WA
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    Zip                  |    98292-6221
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    Country              |    US
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    Telephone            |    360-629-1502
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    Fax                  |    360-629-1524
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Provider Business Mailing Address
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    Address Line         |    7205 265TH ST NW 
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    City                 |    STANWOOD
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    State                |    WA
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    Zip                  |    98292-6221
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    Country              |    US
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    Telephone            |    360-629-1502
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    Fax                  |    360-629-1524
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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        |    208000000X
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    Taxonomy Name        |    Pediatrics Physician
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    License Number       |    A64795
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    License Number State |    CA
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Taxonomy #2
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    Taxonomy Code        |    208000000X
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    Taxonomy Name        |    Pediatrics Physician
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    License Number       |    MD00037586
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    License Number State |    WA
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