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General NPI Number Information
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NPI Number | 1861952996
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Entity Type | Individual
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Provider Name | SAMANTHA CHEYANNE SOVICH
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Gender | Female
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Dates
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Enumeration Date | 03/24/2019
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Last Update Date | 05/27/2025
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Provider Practice Location Address
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Address Line | 904 7TH AVE FL 7
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City | SEATTLE
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State | WA
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Zip | 98104-1132
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Country | US
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Telephone | 206-860-5572
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 34490
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City | SEATTLE
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State | WA
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Zip | 98124-1490
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Country | US
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Telephone | 425-258-3900
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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 | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | MD61503449
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License Number State | WA
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