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Individual
SHARON DIETRICH
Active
Individual
SHARON DIETRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00023656
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1011865
CHPW
WA
05
—
1011865
—
WA
01
—
22547
GROUP HEALTH
—
01
—
30821
L & I
WA
01
—
5408SH
REGENCE
WA
Enumeration date
10/05/2006
Last updated
07/08/2007
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