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General NPI Number Information
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NPI Number | 1073849923
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Entity Type | Individual
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Provider Name | ANDREW D GUDWIN ARNP
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Gender | Male
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Dates
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Enumeration Date | 10/28/2009
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Last Update Date | 04/24/2013
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Provider Practice Location Address
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Address Line | 325 9TH AVE HARBORVIEW MEDICAL CENTER BOX 359799
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City | SEATTLE
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State | WA
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Zip | 98104-2420
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Country | US
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Telephone | 206-744-3090
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Fax | 206-744-8649
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Provider Business Mailing Address
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Address Line | 13005 8TH AVE NE
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City | SEATTLE
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State | WA
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Zip | 98125-3974
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Country | US
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Telephone | 305-582-3090
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | AP60108691
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License Number State | WA
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