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General NPI Number Information
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NPI Number | 1679447510
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Entity Type | Individual
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Provider Name | YEKATERINA GOLUB NP
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Gender | Female
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Dates
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Enumeration Date | 10/02/2025
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Last Update Date | 10/24/2025
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Provider Practice Location Address
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Address Line | 1412 SW 43RD ST STE 209
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City | RENTON
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State | WA
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Zip | 98057-4803
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Country | US
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Telephone | 425-988-0528
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Fax |
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Provider Business Mailing Address
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Address Line | 19052 SE 270TH ST
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City | COVINGTON
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State | WA
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Zip | 98042-8481
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Country | US
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Telephone | 253-348-9977
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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 | AP70039183
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License Number State | WA
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