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General NPI Number Information
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NPI Number | 1891908802
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Entity Type | Individual
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Provider Name | SARA LUNDGAARD DDS
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Gender | Female
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Dates
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Enumeration Date | 05/07/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 3533 172ND ST NE BLDG B
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City | ARLINGTON
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State | WA
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Zip | 98223
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Country | US
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Telephone | 360-658-3000
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Fax | 360-653-1560
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Provider Business Mailing Address
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Address Line | 12811 56TH PL W
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City | MUKILTEO
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State | WA
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Zip | 98275-5526
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Country | US
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Telephone | 360-658-3000
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Fax | 360-653-1560
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DE00008243
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License Number State | WA
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