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General NPI Number Information
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NPI Number | 1639809197
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Entity Type | Organization
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Legal Business Name | INVIGORATING PSYCHIATRY PLLC
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Dates
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Enumeration Date | 06/15/2022
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Last Update Date | 07/17/2023
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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 | 206-603-5725
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Fax | 206-603-5735
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Provider Business Mailing 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 | 206-603-5725
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Fax | 206-603-5735
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | MR. NICHOLAS KENNETH GARMON
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Credential | APRN
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Telephone | 901-438-5392
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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 |
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License Number State |
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