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General NPI Number Information
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NPI Number | 1073238101
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Entity Type | Organization
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Legal Business Name | HEIDI TAFJORD, ARNP, PLLC
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Dates
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Enumeration Date | 10/11/2022
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Last Update Date | 10/11/2022
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Provider Practice Location Address
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Address Line | 3409 NW 70TH ST
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City | SEATTLE
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State | WA
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Zip | 98117-6134
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Country | US
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Telephone | 206-495-5393
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Fax | 206-535-6876
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Provider Business Mailing Address
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Address Line | 3409 NW 70TH ST
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City | SEATTLE
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State | WA
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Zip | 98117-6134
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Country | US
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Telephone | 206-495-5393
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Fax | 206-535-6876
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Authorized Official
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Title or Position | PRACTITIONER, OFFICE MANAGER
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Name | MRS. HEIDI REBECCA TAFJORD
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Credential | ARNP, PMHNP
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Telephone | 206-495-5393
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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 |
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License Number State |
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