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General NPI Number Information
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NPI Number | 1528842499
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Entity Type | Individual
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Provider Name | SOREN ELLIOTT OAKLEY BSN, RN
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Gender | Male
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Dates
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Enumeration Date | 08/22/2023
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Last Update Date | 08/22/2023
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Provider Practice Location Address
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Address Line | 33811 9TH AVE S
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City | FEDERAL WAY
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State | WA
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Zip | 98003-6707
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Country | US
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Telephone | 253-533-9050
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Fax |
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Provider Business Mailing Address
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Address Line | 6228 S 238TH ST APT M205
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City | KENT
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State | WA
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Zip | 98032-3878
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Country | US
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Telephone | 253-569-4394
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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 | 163WP0200X
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Taxonomy Name | Pediatric Registered Nurse
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License Number | RN61207601
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License Number State | WA
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