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General NPI Number Information
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NPI Number | 1790905651
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Entity Type | Individual
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Provider Name | SARA R SALI LMP
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Gender | Female
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Dates
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Enumeration Date | 04/26/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 11700 MEADOWMEER CIR NE
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City | BAINBRIDGE ISLAND
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State | WA
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Zip | 98110-4202
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Country | US
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Telephone | 206-842-5661
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Fax | 206-842-5662
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Provider Business Mailing Address
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Address Line | PO BOX 2116
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City | KINGSTON
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State | WA
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Zip | 98346-2116
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Country | US
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Telephone | 206-300-0673
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | MA00013324
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License Number State | WA
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