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General NPI Number Information
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NPI Number | 1538708078
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Entity Type | Individual
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Provider Name | ELIZABETH VICTORIA NEGASH ARNP
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Gender | Female
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Dates
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Enumeration Date | 01/01/2020
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Last Update Date | 01/24/2020
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Provider Practice Location Address
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Address Line | 1455 NW LEARY WAY
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City | SEATTLE
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State | WA
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Zip | 98107-5124
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Country | US
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Telephone | 206-789-7777
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Fax |
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Provider Business Mailing Address
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Address Line | 1455 NW LEARY WAY STE 250
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City | SEATTLE
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State | WA
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Zip | 98107-5138
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Country | US
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Telephone | 206-205-0000
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | AP61019166
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP61019166
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License Number State | WA
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