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General NPI Number Information
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NPI Number | 1609742873
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Entity Type | Individual
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Provider Name | SCOTT SANDBERG RN
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Gender | Male
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Dates
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Enumeration Date | 10/15/2025
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Last Update Date | 10/15/2025
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Provider Practice Location Address
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Address Line | 5802 NE 52ND CIR
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City | VANCOUVER
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State | WA
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Zip | 98661-2410
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Country | US
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Telephone | 503-729-3545
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Fax |
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Provider Business Mailing Address
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Address Line | 5802 NE 52ND CIR
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City | VANCOUVER
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State | WA
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Zip | 98661-2410
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Country | US
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Telephone | 503-729-3545
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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 | 364SH0200X
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Taxonomy Name | Home Health Clinical Nurse Specialist
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License Number | RN60385270
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License Number State | WA
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