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General NPI Number Information
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NPI Number | 1659240836
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Entity Type | Individual
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Provider Name | SHAHNAZ BOOSEPASI ARNP
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Gender | Female
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Dates
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Enumeration Date | 11/04/2025
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Last Update Date | 11/04/2025
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Provider Practice Location Address
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Address Line | 8344 167TH AVE NE APT 20
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City | REDMOND
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State | WA
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Zip | 98052-3984
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Country | US
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Telephone | 425-830-5321
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Fax |
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Provider Business Mailing Address
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Address Line | 8344 167TH AVE NE APT 20
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City | REDMOND
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State | WA
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Zip | 98052-3984
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Country | US
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Telephone |
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 70029839
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License Number State | WA
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