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General NPI Number Information
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NPI Number | 1114564275
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Entity Type | Individual
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Provider Name | PRAKASH KHAREL ARNP
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Gender | Male
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Dates
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Enumeration Date | 12/06/2019
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Last Update Date | 09/24/2025
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Provider Practice Location Address
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Address Line | 606 OAKESDALE AVE SW STE C200
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City | RENTON
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State | WA
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Zip | 98057-5227
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Country | US
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Telephone | 866-259-1629
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Fax | 855-666-8541
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Provider Business Mailing Address
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Address Line | PO BOX 40412
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City | BELFAST
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State | ME
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Zip | 04915-1255
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Country | US
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Telephone | 866-259-1629
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Fax | 855-666-8541
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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 | AP61340281
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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