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General NPI Number Information
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NPI Number | 1619697935
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Entity Type | Individual
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Provider Name | SARAH ELIZABETH BOISEN MSN, RN
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Gender | Female
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Dates
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Enumeration Date | 08/29/2022
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Last Update Date | 02/02/2026
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Provider Practice Location Address
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Address Line | 9 BROOKSIDE PL
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City | MORGANTOWN
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State | WV
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Zip | 26505-1711
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Country | US
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Telephone | 907-830-1425
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Fax |
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Provider Business Mailing Address
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Address Line | 4775 BEACH DR SW
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City | SEATTLE
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State | WA
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Zip | 98116-4340
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Country | US
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Telephone | 907-830-1425
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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 | 30692
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 163WC0200X
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Taxonomy Name | Critical Care Medicine Registered Nurse
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License Number | RN61032107
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License Number State | WA
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