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General NPI Number Information
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NPI Number | 1598205924
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Entity Type | Individual
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Provider Name | ALEXANDRA JAMIE PALES ARNP
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Gender | Female
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Dates
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Enumeration Date | 03/04/2017
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Last Update Date | 04/22/2025
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Provider Practice Location Address
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Address Line | 6100 219TH ST SW STE 480
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City | MOUNTLAKE TERRACE
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State | WA
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Zip | 98043-2222
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Country | US
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Telephone | 425-903-8911
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Fax | 425-953-5294
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Provider Business Mailing Address
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Address Line | 1000 SE EVERETT MALL WAY STE 305
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City | EVERETT
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State | WA
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Zip | 98208-2814
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Country | US
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Telephone | 773-692-5694
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | AP 60735453
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License Number State | WA
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