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General NPI Number Information
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NPI Number | 1467024893
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Entity Type | Individual
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Provider Name | YASHPREET KANG
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Gender | Female
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Dates
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Enumeration Date | 07/14/2021
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Last Update Date | 09/19/2024
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Provider Practice Location Address
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Address Line | 17900 TALBOT RD S STE 101
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City | RENTON
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State | WA
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Zip | 98055-8212
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Country | US
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Telephone | 425-235-9614
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Fax |
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Provider Business Mailing Address
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Address Line | 24005 96TH AVE S
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City | KENT
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State | WA
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Zip | 98030-4833
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Country | US
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Telephone | 206-393-2214
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Fax | 425-291-7386
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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 | AP61550439
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License Number State | WA
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