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General NPI Number Information
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NPI Number | 1689251811
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Entity Type | Individual
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Provider Name | KARA CLARK ARNP
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Gender | Female
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Dates
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Enumeration Date | 03/25/2021
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Last Update Date | 05/08/2025
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Provider Practice Location Address
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Address Line | 450 ALASKAN WAY S STE 200, #9452
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City | SEATTLE
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State | WA
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Zip | 98104
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Country | US
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Telephone | 888-731-8994
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Fax |
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Provider Business Mailing Address
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Address Line | 10316 NE 187TH ST APT 405
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City | BOTHELL
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State | WA
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Zip | 98011-3888
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Country | US
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Telephone | 206-407-5889
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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 | TPAN3153
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APN.0104214
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP61111745
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License Number State | WA
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