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General NPI Number Information
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NPI Number | 1629266366
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Entity Type | Individual
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Provider Name | TRAVIS ARMOND DAMICO MN, ARNP
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Gender | Male
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Dates
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Enumeration Date | 10/09/2007
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Last Update Date | 06/13/2025
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Provider Practice Location Address
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Address Line | 525 BELMONT AVE E APT 3A
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City | SEATTLE
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State | WA
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Zip | 98102-4898
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Country | US
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Telephone | 206-496-5370
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Fax | 206-325-5003
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Provider Business Mailing Address
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Address Line | 525 BELMONT AVE E APT 3A
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City | SEATTLE
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State | WA
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Zip | 98102-4898
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Country | US
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Telephone | 206-496-5370
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Fax | 206-325-5003
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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 | AP30007865
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License Number State | WA
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