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General NPI Number Information
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NPI Number | 1659280568
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Entity Type | Individual
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Provider Name | AMY SUSANNE SAYLER ICCE
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Gender | Female
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Dates
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Enumeration Date | 09/04/2026
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Last Update Date | 09/04/2026
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Provider Practice Location Address
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Address Line | 2000 S CLOVER DR
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City | MOSES LAKE
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State | WA
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Zip | 98837-4417
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Country | US
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Telephone | 509-793-9663
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Fax | 509-764-3229
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Provider Business Mailing Address
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Address Line | 2000 S CLOVER DR
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City | MOSES LAKE
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State | WA
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Zip | 98837-4417
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Country | US
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Telephone | 509-793-9663
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Fax | 509-764-3229
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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 | 174H00000X
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Taxonomy Name | Health Educator
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License Number |
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License Number State |
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