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General NPI Number Information
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NPI Number | 1447321039
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Entity Type | Individual
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Provider Name | PAMELA DIAZ BARTEN ARNP
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Gender | Female
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Dates
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Enumeration Date | 11/13/2006
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Last Update Date | 04/24/2017
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Provider Practice Location Address
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Address Line | 1105 S 348TH ST SUITE B103
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City | FEDERAL WAY
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State | WA
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Zip | 98003-7027
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Country | US
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Telephone | 253-661-7002
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Fax | 253-661-9132
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Provider Business Mailing Address
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Address Line | PO BOX 24547
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City | SEATTLE
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State | WA
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Zip | 98124-0547
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Country | US
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Telephone | 800-769-0045
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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 | AP30006929
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License Number State | WA
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