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General NPI Number Information
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NPI Number | 1578438412
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Entity Type | Organization
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Legal Business Name | TRUSANA MEDICAL GROUP WA, PLLC
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Dates
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Enumeration Date | 10/09/2025
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Last Update Date | 10/09/2025
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Provider Practice Location Address
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Address Line | 1801 LIND AVE SW
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City | RENTON
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State | WA
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Zip | 98057-3368
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Country | US
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Telephone | 833-724-9355
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Fax |
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Provider Business Mailing Address
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Address Line | 1801 LIND AVE SW
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City | RENTON
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State | WA
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Zip | 98057-3368
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Country | US
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Telephone | 833-724-9355
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ARPAN WAGHRAY
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Credential | MD
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Telephone | 206-790-8152
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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