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General NPI Number Information
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NPI Number | 1639026941
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Entity Type | Individual
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Provider Name | BIFTU HASSAN
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Gender | Female
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Dates
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Enumeration Date | 03/16/2026
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Last Update Date | 03/16/2026
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Provider Practice Location Address
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Address Line | 2611 SE 130TH AVE
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City | VANCOUVER
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State | WA
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Zip | 98683-6583
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Country | US
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Telephone | 360-883-0679
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Fax | 360-882-3888
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Provider Business Mailing Address
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Address Line | 2611 SE 130TH AVE
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City | VANCOUVER
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State | WA
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Zip | 98683-6583
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Country | US
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Telephone | 360-883-0679
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Fax | 360-882-3888
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN61678727
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License Number State | WA
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