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General NPI Number Information
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NPI Number | 1063132983
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Entity Type | Individual
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Provider Name | CHRISTOPHER RYAN KLEBIEKO
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Gender | Male
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Dates
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Enumeration Date | 08/31/2022
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Last Update Date | 07/15/2025
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Provider Practice Location Address
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Address Line | 1959 NE PACIFIC ST
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City | SEATTLE
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State | WA
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Zip | 98195-0001
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Country | US
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Telephone | 206-543-8736
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Fax |
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Provider Business Mailing Address
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Address Line | 88 GIBSON RD
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City | ASHEVILLE
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State | NC
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Zip | 28804-1736
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Country | US
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Telephone | 34-751-9293
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | ARNP.AP.70007569-NP
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License Number State | WA
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