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General NPI Number Information
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NPI Number | 1518828300
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Entity Type | Individual
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Provider Name | JENNA SUZANNE BABST
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Gender | Female
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Dates
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Enumeration Date | 11/20/2025
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Last Update Date | 11/20/2025
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Provider Practice Location Address
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Address Line | 2901 174TH ST NE
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City | MARYSVILLE
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State | WA
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Zip | 98271-4743
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Country | US
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Telephone | 360-454-1900
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Fax |
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Provider Business Mailing Address
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Address Line | 265 DURR RD
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City | CAMANO ISLAND
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State | WA
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Zip | 98282-8521
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Country | US
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Telephone | 425-387-0930
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | ARNP.AP.70069692-NP
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License Number State | WA
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