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NPI Code Detail

MEDICARE: JAMES DYKES

MEDICARE: JAMES DYKES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WP0808XPsychiatric/Mental Health Registered NurseRN00094432WA

General Provider Information

NPI Number : 1255970190
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMES DYKES
Provider Business Mailing Address
First Line : 1959 NE PACIFIC ST
Second Line :
City : SEATTLE
State : WA
Zip : 98195-7263
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1959 NE PACIFIC ST
Second Line :
City : SEATTLE
State : WA
Zip : 98195-7263
Country : US
Telephone Number : 206-724-1185
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/23/2019
Last Update Date : 12/23/2019

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Directions to “ JAMES DYKES ” Practice Location

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