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General NPI Number Information
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NPI Number | 1154837847
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Entity Type | Individual
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Provider Name | FIL BETH GATMAITAN DAVIS FNP
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Gender | Female
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Dates
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Enumeration Date | 12/18/2017
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Last Update Date | 11/20/2023
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Provider Practice Location Address
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Address Line | 202 CULLENS ST NW
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City | YELM
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State | WA
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Zip | 98597-9417
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Country | US
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Telephone | 360-400-4800
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Fax | 360-400-4821
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Provider Business Mailing Address
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Address Line | PO BOX 34703
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City | SEATTLE
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State | WA
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Zip | 98124-1703
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Country | US
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Telephone |
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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 | 156569
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License Number State | AK
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 0024180624
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 2382
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License Number State | HI
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 03045
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License Number State | RI
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Taxonomy #5
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 61422614
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License Number State | WA
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