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General NPI Number Information
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NPI Number | 1700228988
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Entity Type | Individual
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Provider Name | SARAH A NEITZEL DPM
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Gender | Female
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Dates
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Enumeration Date | 07/29/2013
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Last Update Date | 09/06/2022
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Provider Practice Location Address
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Address Line | 2416 NW MYHRE RD # 160
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City | SILVERDALE
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State | WA
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Zip | 98383-7673
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Country | US
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Telephone | 360-286-0404
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Fax | 360-859-0333
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Provider Business Mailing Address
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Address Line | 11300 RIDGE RIM TRL SE ATTN SARAH NEITZEL DPM PLLC
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City | PORT ORCHARD
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State | WA
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Zip | 98367-7209
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Country | US
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Telephone | 509-339-3783
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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 | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | PO60525307
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 135000777
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License Number State | IL
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