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General NPI Number Information
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NPI Number | 1669834149
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Entity Type | Individual
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Provider Name | ANDREA NICOLE REA MD
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Gender | Female
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Dates
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Enumeration Date | 03/24/2016
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Last Update Date | 03/15/2025
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Provider Practice Location Address
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Address Line | 1959 NE PACIFIC ST
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City | SEATTLE
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State | WA
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Zip | 98195-2307
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Country | US
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Telephone | 206-520-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 11800 NE 128TH ST STE 450
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City | KIRKLAND
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State | WA
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Zip | 98034-7211
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Country | US
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Telephone | 425-899-3376
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | MD61053941
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License Number State | WA
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