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General NPI Number Information
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NPI Number | 1003290073
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Entity Type | Individual
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Provider Name | XUEMEI SU ARNP
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Gender | Female
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Dates
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Enumeration Date | 07/19/2015
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Last Update Date | 07/19/2015
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Provider Practice Location Address
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Address Line | 12303 NE 130TH LN STE400
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City | KIRKLAND
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State | WA
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Zip | 98034-3099
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Country | US
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Telephone | 425-899-4692
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Fax |
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Provider Business Mailing Address
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Address Line | 4721 135TH PL SE
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City | BELLEVUE
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State | WA
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Zip | 98006-3034
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Country | US
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Telephone | 425-440-8385
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP60582491
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License Number State | WA
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