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General NPI Number Information
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NPI Number | 1578172425
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Entity Type | Individual
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Provider Name | SARAH KRISTIN ANDERSEN MD
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Gender | Female
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Dates
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Enumeration Date | 07/27/2020
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Last Update Date | 08/08/2020
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Provider Practice Location Address
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Address Line | 4048 WEST 32ND AVENUE
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City | VANCOUVER
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State | BC
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Zip | V6S1Z6
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Country | CA
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Telephone | 416-274-9686
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Fax |
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Provider Business Mailing Address
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Address Line | 4048 WEST 32ND AVENUE
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City | VANCOUVER
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State | BC
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Zip | V6S1Z6
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Country | CA
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Telephone |
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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 | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | 029233
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License Number State | ZZ
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