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General NPI Number Information
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NPI Number | 1619312618
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Entity Type | Individual
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Provider Name | SARA ELIZABETH REDDIM CRNA
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Gender | Female
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Dates
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Enumeration Date | 05/03/2013
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Last Update Date | 06/03/2024
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Provider Practice Location Address
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Address Line | 1101 MADISON ST STE 301
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City | SEATTLE
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State | WA
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Zip | 98104-3599
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Country | US
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Telephone | 206-505-1101
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 94333
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City | SEATTLE
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State | WA
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Zip | 98124-6633
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Country | US
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Telephone | 425-407-1500
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 092770
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 209010658
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | AP61148926
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License Number State | WA
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