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General NPI Number Information
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NPI Number | 1447922323
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Entity Type | Individual
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Provider Name | GRACE JYE-AN LEE ARNP, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 09/29/2021
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Last Update Date | 10/13/2022
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Provider Practice Location Address
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Address Line | 33501 1ST WAY S
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City | FEDERAL WAY
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State | WA
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Zip | 98003-6208
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Country | US
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Telephone | 253-838-2400
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Fax | 253-874-1637
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Provider Business Mailing Address
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Address Line | 33501 1ST WAY S
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City | FEDERAL WAY
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State | WA
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Zip | 98003-6208
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Country | US
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Telephone | 253-838-2400
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Fax | 253-874-1637
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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 | AP61220292
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License Number State | WA
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