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General NPI Number Information
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NPI Number | 1578702700
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Entity Type | Individual
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Provider Name | THERRY ROSE JAVIER EPARWA DNP, ARNP
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Gender | Female
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Dates
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Enumeration Date | 02/11/2009
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Last Update Date | 03/20/2020
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Provider Practice Location Address
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Address Line | 2825 EASTLAKE AVE E STE 115
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City | SEATTLE
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State | WA
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Zip | 98102-3084
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Country | US
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Telephone | 206-420-1321
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Fax |
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Provider Business Mailing Address
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Address Line | 2825 EASTLAKE AVE E STE 115
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City | SEATTLE
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State | WA
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Zip | 98102-3084
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Country | US
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Telephone | 206-420-1321
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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 | 46309
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License Number State | KS
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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 | AP 60125611
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License Number State | WA
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