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General NPI Number Information
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NPI Number | 1275108359
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Entity Type | Individual
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Provider Name | NATALIE RAE ERVIN ARNP
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Gender | Female
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Dates
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Enumeration Date | 05/21/2021
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Last Update Date | 10/10/2024
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Provider Practice Location Address
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Address Line | 27203 216TH AVE SE STE D
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City | MAPLE VALLEY
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State | WA
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Zip | 98038-3274
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Country | US
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Telephone | 425-690-3425
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Fax | 425-690-9425
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Provider Business Mailing Address
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Address Line | 27203 216TH AVE SE STE D
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City | MAPLE VALLEY
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State | WA
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Zip | 98038-3274
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Country | US
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Telephone | 425-690-3425
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Fax | 425-690-9425
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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 | AP61186256
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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 | AP51186256
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | RN60687084
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License Number State | WA
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