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General NPI Number Information
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NPI Number | 1073601068
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Entity Type | Individual
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Provider Name | CONNIE K CRAIG PHD. ARNP
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Gender | Female
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Dates
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Enumeration Date | 10/11/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 14929 SE ALLEN RD
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City | BELLEVUE
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State | WA
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Zip | 98006-1639
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Country | US
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Telephone | 425-746-2124
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Fax | 425-746-2148
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Provider Business Mailing Address
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Address Line | 7460 W MERCER WAY
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City | MERCER ISLAND
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State | WA
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Zip | 98040-5537
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Country | US
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Telephone | 206-406-7539
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Fax | 425-746-2148
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PY00003200
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | AP30004761
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License Number State | WA
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