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NPI 1669282307

NPI 1669282307 : NAZEER KABIR ARNP : LAKEWOOD, WA

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General NPI Number Information
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    NPI Number           |    1669282307
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    Entity Type          |    Individual 
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    Provider Name        |    NAZEER KABIR ARNP
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    01/13/2025
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    Last Update Date     |    04/24/2025
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Provider Practice Location Address
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    Address Line         |    4903 108TH ST SW 
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    City                 |    LAKEWOOD
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    State                |    WA
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    Zip                  |    98499-3724
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    Country              |    US
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    Telephone            |    253-589-6484
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    Fax                  |    253-984-1079
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Provider Business Mailing Address
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    Address Line         |    5203 E COURT M 
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    City                 |    TACOMA
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    State                |    WA
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    Zip                  |    98404-2644
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    Country              |    US
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    Telephone            |    682-408-6472
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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        |    363LG0600X
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    Taxonomy Name        |    Gerontology Nurse Practitioner
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    License Number       |    AP61645482
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    License Number State |    WA
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Taxonomy #2
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    Taxonomy Code        |    363LP2300X
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    Taxonomy Name        |    Primary Care Nurse Practitioner
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    License Number       |    AP61645482
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    License Number State |    WA
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