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General NPI Number Information
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NPI Number | 1245112416
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Entity Type | Individual
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Provider Name | KATHERINE MOISE RN
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Gender | Female
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Dates
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Enumeration Date | 07/21/2025
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Last Update Date | 07/21/2025
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Provider Practice Location Address
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Address Line | 3805 108TH AVE NE STE 204
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City | BELLEVUE
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State | WA
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Zip | 98004-7613
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Country | US
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Telephone | 425-242-1713
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Fax |
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Provider Business Mailing Address
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Address Line | 707 TERRY AVE APT 1116
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City | SEATTLE
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State | WA
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Zip | 98104-2141
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Country | US
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Telephone | 276-312-5891
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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 | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | 107081
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License Number State | WV
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