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General NPI Number Information
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NPI Number | 1366953077
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Entity Type | Individual
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Provider Name | CHRISTINE ANNE SIMONS DNP, NP-C
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Gender | Female
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Dates
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Enumeration Date | 10/20/2017
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Last Update Date | 03/05/2025
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Provider Practice Location Address
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Address Line | 16400 SOUTHCENTER PKWY STE 309
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City | TUKWILA
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State | WA
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Zip | 98188-3335
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Country | US
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Telephone | 888-721-8746
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Fax | 425-459-5144
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Provider Business Mailing Address
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Address Line | 26512 163RD AVE SE
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City | COVINGTON
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State | WA
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Zip | 98042-8223
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Country | US
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Telephone | 503-462-4221
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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 | 201708884NP-PP
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License Number State | OR
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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 | AP60793279
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License Number State | WA
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