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General NPI Number Information
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NPI Number | 1457581720
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Entity Type | Individual
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Provider Name | LINDSEY ROYAL HURT PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 07/21/2009
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Last Update Date | 01/07/2025
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Provider Practice Location Address
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Address Line | 22620 SE 4TH ST STE 130
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City | SAMMAMISH
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State | WA
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Zip | 98074-7375
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Country | US
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Telephone | 425-659-5313
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Fax |
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Provider Business Mailing Address
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Address Line | 22620 SE 4TH ST STE 130
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City | SAMMAMISH
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State | WA
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Zip | 98074-7375
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Country | US
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Telephone | 256-594-5313
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Fax | 425-689-1306
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN60517507
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | AP61339695
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License Number State | WA
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