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General NPI Number Information
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NPI Number | 1205648581
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Entity Type | Individual
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Provider Name | JARICA QUICK
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Gender | Female
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Dates
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Enumeration Date | 01/23/2025
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Last Update Date | 01/23/2025
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Provider Practice Location Address
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Address Line | 1213 24TH ST STE 100
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City | ANACORTES
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State | WA
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Zip | 98221-2595
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Country | US
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Telephone | 360-293-3101
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Fax | 360-588-1041
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Provider Business Mailing Address
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Address Line | 305 SNOHOMISH DR
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City | LA CONNER
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State | WA
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Zip | 98257-9510
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN60161483
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License Number State | WA
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