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General NPI Number Information
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NPI Number | 1225539158
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Entity Type | Individual
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Provider Name | MAYA GABRIELLE GOLAN ARNP
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Gender | Female
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Dates
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Enumeration Date | 02/26/2018
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Last Update Date | 09/04/2020
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Provider Practice Location Address
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Address Line | 4800 SAND POINT WAY NE M/S OB.8.412
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City | SEATTLE
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State | WA
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Zip | 98105-3901
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Country | US
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Telephone | 206-987-2114
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Fax | 206-987-2651
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Provider Business Mailing Address
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Address Line | PO BOX 5371
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City | SEATTLE
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State | WA
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Zip | 98145-5005
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Country | US
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Telephone | 206-987-2114
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Fax | 206-987-2651
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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 | RN60742851
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | AP60755367
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License Number State | WA
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