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General NPI Number Information
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NPI Number | 1104561836
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Entity Type | Individual
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Provider Name | RUSSELL BRIGGS NP
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Gender | Male
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Dates
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Enumeration Date | 04/27/2022
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Last Update Date | 06/02/2025
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Provider Practice Location Address
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Address Line | 10740 MERIDIAN AVE N STE 110
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City | SEATTLE
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State | WA
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Zip | 98133-9010
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Country | US
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Telephone | 425-578-5144
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Fax |
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Provider Business Mailing Address
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Address Line | 8510 26TH STREET CT W APT 120
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City | UNIVERSITY PLACE
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State | WA
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Zip | 98466-8552
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Country | US
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Telephone | 608-212-6000
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 1081133
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License Number State | TX
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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 | AP61657332
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License Number State | WA
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