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General NPI Number Information
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NPI Number | 1497246151
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Entity Type | Individual
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Provider Name | IRINE ANIE FORSAB
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Gender | Female
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Dates
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Enumeration Date | 05/29/2018
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Last Update Date | 12/01/2025
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Provider Practice Location Address
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Address Line | 101 ELLIOTT AVE W STE 500
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City | SEATTLE
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State | WA
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Zip | 98119-4292
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Country | US
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Telephone | 281-760-5290
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Fax |
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Provider Business Mailing Address
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Address Line | 7110 FAVIAN CT
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City | HOUSTON
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State | TX
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Zip | 77083-6936
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Country | US
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Telephone |
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 1017670
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License Number State | TX
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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 | AP61517950
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 772413
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License Number State | TX
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