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General NPI Number Information
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NPI Number | 1104338144
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Entity Type | Organization
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Legal Business Name | VEST SEATTLE, LLC
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Dates
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Enumeration Date | 10/31/2017
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Last Update Date | 08/05/2021
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Provider Practice Location Address
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Address Line | 3955 156TH ST NE
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City | MARYSVILLE
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State | WA
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Zip | 98271-4831
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Country | US
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Telephone | 844-202-5555
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Fax | 360-542-2254
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Provider Business Mailing Address
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Address Line | 3955 156TH STREET NE
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City | MARYSVILLE
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State | WA
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Zip | 98271-4831
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Country | US
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Telephone | 360-651-6400
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Fax | 360-542-2254
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Authorized Official
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Title or Position | MANAGER
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Name | RICHARD ALLEN KRESCH
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Credential | M.D.
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Telephone | 212-243-5565
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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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Taxonomy #2
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Taxonomy Code | 364SP0808X
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Taxonomy Name | Psychiatric/Mental Health Clinical Nurse Specialist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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