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General NPI Number Information
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NPI Number | 1316897556
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Entity Type | Individual
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Provider Name | ISABELLA M TRAN SUDPT
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Gender | Female
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Dates
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Enumeration Date | 01/28/2026
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Last Update Date | 01/28/2026
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Provider Practice Location Address
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Address Line | 28815 PACIFIC HWY S STE 7A
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City | FEDERAL WAY
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State | WA
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Zip | 98003-3876
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Country | US
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Telephone | 844-987-9274
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Fax | 206-838-1851
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Provider Business Mailing Address
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Address Line | 861 POPLAR PL S
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City | SEATTLE
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State | WA
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Zip | 98144-2827
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Country | US
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Telephone | 844-987-9274
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Fax | 206-838-1851
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State | WA
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