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General NPI Number Information
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NPI Number | 1558243865
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Entity Type | Individual
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Provider Name | TORI MEI CHEBOTAR
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Gender | Female
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Dates
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Enumeration Date | 07/25/2025
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Last Update Date | 10/10/2025
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Provider Practice Location Address
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Address Line | 202 N DIVISION ST
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City | AUBURN
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State | WA
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Zip | 98001-4939
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Country | US
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Telephone | 253-833-7711
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 920140
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City | DALLAS
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State | TX
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Zip | 75392-0140
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Country | US
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Telephone | 877-346-2211
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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 | AP61660860
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN60932626
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License Number State | WA
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