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General NPI Number Information
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NPI Number | 1366952798
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Entity Type | Individual
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Provider Name | KELLY LYNN DEMPSEY ARNP
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Gender | Female
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Dates
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Enumeration Date | 10/12/2017
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Last Update Date | 05/24/2021
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Provider Practice Location Address
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Address Line | 23320 HIGHWAY 99
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City | EDMONDS
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State | WA
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Zip | 98026-8744
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Country | US
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Telephone | 425-640-5500
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Fax |
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Provider Business Mailing Address
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Address Line | 1420 5TH AVE SUITE 375
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City | SEATTLE
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State | WA
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Zip | 98101
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Country | US
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Telephone | 206-223-2611
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Fax | 206-381-4671
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | AP60799709
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License Number State | WA
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