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General NPI Number Information
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NPI Number | 1376052746
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Entity Type | Individual
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Provider Name | RACHEL SUNMI BOCK FNP-C
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Gender | Female
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Dates
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Enumeration Date | 09/28/2017
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Last Update Date | 03/05/2024
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Provider Practice Location Address
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Address Line | 31405 18TH AVE S
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City | FEDERAL WAY
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State | WA
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Zip | 98003-5433
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Country | US
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Telephone | 536-816-6002
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Fax | 253-681-6645
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Provider Business Mailing Address
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Address Line | PO BOX 34703
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City | SEATTLE
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State | WA
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Zip | 98124-1703
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Country | US
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Telephone | 253-681-6600
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Fax | 253-681-6645
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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 | AP60844582
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License Number State | MD
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