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General NPI Number Information
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NPI Number | 1144397183
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Entity Type | Individual
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Provider Name | AUDREY M. YAN RN, L.M.P., IBCLC
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Gender | Female
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Dates
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Enumeration Date | 11/28/2006
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Last Update Date | 08/17/2025
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Provider Practice Location Address
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Address Line | 24604 104TH AVE SE # 203
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City | KENT
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State | WA
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Zip | 98030-4965
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Country | US
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Telephone | 253-859-2373
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Fax | 253-856-8754
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Provider Business Mailing Address
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Address Line | 9620 S 203RD ST
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City | KENT
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State | WA
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Zip | 98031-1463
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Country | US
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Telephone | 253-854-1823
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Fax | 253-854-1823
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN00083503
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | MA00005757
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 163WL0100X
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Taxonomy Name | Lactation Consultant (Registered Nurse)
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License Number | L37947
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License Number State | VA
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