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General NPI Number Information
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NPI Number | 1326010968
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Entity Type | Individual
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Provider Name | JACQUELINE LETRAN ARNP
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Gender | Female
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Dates
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Enumeration Date | 02/07/2006
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 204 AUBURN AVE
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City | AUBURN
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State | WA
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Zip | 98002-5015
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Country | US
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Telephone | 253-735-8336
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Fax | 253-735-8833
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Provider Business Mailing Address
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Address Line | 10700 SE 260TH ST J102
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City | KENT
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State | WA
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Zip | 98030-7699
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Country | US
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Telephone | 206-326-9448
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP30004015
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License Number State | WA
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