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General NPI Number Information
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NPI Number | 1497185011
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Entity Type | Individual
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Provider Name | ELSPETH GUNNOE PMHNP
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Gender | Female
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Dates
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Enumeration Date | 11/18/2013
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Last Update Date | 09/02/2021
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Provider Practice Location Address
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Address Line | 122 16TH AVE E
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City | SEATTLE
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State | WA
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Zip | 98112-5212
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Country | US
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Telephone | 206-302-2700
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Fax | 206-322-6306
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Provider Business Mailing Address
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Address Line | 6400 SOUTHCENTER BLVD
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City | TUKWILA
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State | WA
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Zip | 98188-2547
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Country | US
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Telephone | 206-901-2041
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Fax | 206-322-6306
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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 | RN60610774
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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 | AP60627769
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License Number State | WA
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