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General NPI Number Information
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NPI Number | 1558309070
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Entity Type | Individual
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Provider Name | SARAH LAY
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Gender | Female
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Dates
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Enumeration Date | 06/04/2006
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Last Update Date | 04/23/2024
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Provider Practice Location Address
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Address Line | PO BOX 808
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City | CHEWELAH
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State | WA
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Zip | 99109-0808
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Country | US
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Telephone | 509-935-8424
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Fax | 509-935-8402
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Provider Business Mailing Address
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Address Line | PO BOX 808
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City | CHEWELAH
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State | WA
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Zip | 99109-0808
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Country | US
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Telephone | 509-935-8424
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Fax | 509-935-8402
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | K8987
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License Number State | TX
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