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General NPI Number Information
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NPI Number | 1194232579
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Entity Type | Individual
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Provider Name | GURVINDER DHILLON FNP
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Gender | Female
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Dates
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Enumeration Date | 01/06/2018
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Last Update Date | 01/09/2021
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Provider Practice Location Address
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Address Line | 33501 1ST WAY S
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City | FEDERAL WAY
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State | WA
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Zip | 98003-6208
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Country | US
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Telephone | 253-838-2400
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Fax |
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Provider Business Mailing Address
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Address Line | 1100 9TH AVE M4-PFS
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City | SEATTLE
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State | WA
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Zip | 98101-2756
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Country | US
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Telephone | 206-515-5811
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN00161155
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License Number State | WA
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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 | AP60800272
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | AP60800272
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License Number State | WA
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Taxonomy #4
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | AP60800272
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License Number State | WA
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