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General NPI Number Information
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NPI Number | 1003751892
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Entity Type | Individual
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Provider Name | JOHN MICHAEL ULYSSES DULKO RN
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Gender | Male
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Dates
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Enumeration Date | 04/20/2026
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Last Update Date | 04/20/2026
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Provider Practice Location Address
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Address Line | 19125 N CREEK PKWY STE 120
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City | BOTHELL
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State | WA
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Zip | 98011-8000
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Country | US
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Telephone | 971-203-2114
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Fax |
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Provider Business Mailing Address
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Address Line | PSC 201 BOX 1108
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City | FPO
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State | AA
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Zip | 34010-0012
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Country | US
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Telephone | 516-578-8920
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | R263089
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License Number State | MD
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