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General NPI Number Information
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NPI Number | 1336613892
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Entity Type | Individual
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Provider Name | RACHEL PISTO FNP
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Gender | Female
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Dates
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Enumeration Date | 01/17/2019
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Last Update Date | 01/17/2019
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Provider Practice Location Address
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Address Line | 1505 WESTLAKE AVE N
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City | SEATTLE
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State | WA
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Zip | 98109-3050
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Country | US
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Telephone | 206-301-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 3849 KLAHANIE DR SE APT 2-103
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City | SAMMAMISH
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State | WA
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Zip | 98029-5843
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Country | US
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Telephone |
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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 | AP60909314
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License Number State | WA
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