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General NPI Number Information
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NPI Number | 1104633031
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Entity Type | Individual
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Provider Name | SAMUEL L ZAMZOW
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Gender | Male
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Dates
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Enumeration Date | 12/13/2024
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Last Update Date | 11/20/2025
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Provider Practice Location Address
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Address Line | 4545 POINT FOSDICK DR
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City | GIG HARBOR
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State | WA
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Zip | 98335-1700
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Country | US
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Telephone | 253-530-8000
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Fax |
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Provider Business Mailing Address
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Address Line | 325 9TH AVE
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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 | 206-744-3550
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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 | AP70029022
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 163WM0705X
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Taxonomy Name | Medical-Surgical Registered Nurse
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License Number | RN60455700
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License Number State | WA
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