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General NPI Number Information
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NPI Number | 1093085128
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Entity Type | Individual
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Provider Name | AMY IRENE MEYER ARNP-C
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Gender | Female
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Dates
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Enumeration Date | 01/05/2012
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Last Update Date | 08/03/2023
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Provider Practice Location Address
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Address Line | 1660 S COLUMBIAN WAY
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City | SEATTLE
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State | WA
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Zip | 98108-1532
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Country | US
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Telephone | 206-277-5501
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Fax |
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Provider Business Mailing Address
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Address Line | 13106 SE 240TH ST STE 106
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City | KENT
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State | WA
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Zip | 98031-9212
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Country | US
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Telephone | 425-998-9728
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP60237026
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License Number State | WA
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