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General NPI Number Information
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NPI Number | 1518823095
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Entity Type | Organization
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Legal Business Name | PRIMELIFE PLLC
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Dates
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Enumeration Date | 12/29/2025
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Last Update Date | 12/29/2025
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Provider Practice Location Address
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Address Line | 15111 MAIN ST STE 209
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City | MILL CREEK
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State | WA
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Zip | 98012-9034
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Country | US
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Telephone | 425-236-2423
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Fax |
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Provider Business Mailing Address
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Address Line | 2619 201ST PL SE
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City | BOTHELL
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State | WA
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Zip | 98012-3320
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Country | US
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Telephone | 425-236-2423
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DANA SCHARFENBERG
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Credential | FNP-BC
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Telephone | 425-236-2423
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171400000X
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Taxonomy Name | Health & Wellness Coach
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 163WW0000X
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Taxonomy Name | Wound Care Registered Nurse
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License Number |
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License Number State |
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