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General NPI Number Information
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NPI Number | 1447144688
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Entity Type | Organization
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Legal Business Name | SOREN NP PLLC
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Dates
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Enumeration Date | 06/04/2025
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Last Update Date | 06/06/2025
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Provider Practice Location Address
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Address Line | 508 W 6TH AVE APT 304
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City | SPOKANE
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State | WA
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Zip | 99204-2701
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Country | US
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Telephone | 253-282-1007
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Fax |
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Provider Business Mailing Address
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Address Line | 508 W 6TH AVE APT 304
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City | SPOKANE
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State | WA
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Zip | 99204-2701
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Country | US
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Telephone | 253-282-1007
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Fax |
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Authorized Official
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Title or Position | PMHNP
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Name | SOREN MIKAEL ADDAMS
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Credential | ARNP
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Telephone | 253-282-1007
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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