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General NPI Number Information
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NPI Number | 1659110948
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Entity Type | Individual
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Provider Name | HAZZAUNA MARIE UNDERWOOD RN
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Gender | Female
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Dates
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Enumeration Date | 05/24/2024
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Last Update Date | 10/28/2025
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Provider Practice Location Address
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Address Line | 8124 BEVERLY LN
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City | EVERETT
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State | WA
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Zip | 98203-6403
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Country | US
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Telephone | 425-405-2402
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Fax |
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Provider Business Mailing Address
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Address Line | 8124 BEVERLY LN
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City | EVERETT
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State | WA
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Zip | 98203-6403
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Country | US
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Telephone | 425-405-2402
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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 | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number | RN60077129
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | AP70055481
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License Number State | WA
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