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General NPI Number Information
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NPI Number | 1124434527
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Entity Type | Individual
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Provider Name | ANINA TERRY A.R.N.P.
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Gender | Female
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Dates
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Enumeration Date | 07/07/2014
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Last Update Date | 11/08/2023
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Provider Practice Location Address
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Address Line | 1410 NE 66TH ST
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City | SEATTLE
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State | WA
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Zip | 98115-6744
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Country | US
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Telephone | 206-548-5850
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Fax |
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Provider Business Mailing Address
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Address Line | 1200 12TH AVE S STE 901
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City | SEATTLE
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State | WA
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Zip | 98144-2712
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Country | US
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Telephone | 206-548-3114
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Fax | 206-262-0859
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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 | AP60480622
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License Number State | WA
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