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General NPI Number Information
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NPI Number | 1689521254
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Entity Type | Individual
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Provider Name | WILLIAM J MICHAEL JR.
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Gender | Male
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Dates
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Enumeration Date | 03/12/2026
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Last Update Date | 03/12/2026
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Provider Practice Location Address
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Address Line | 11800 NE 128TH ST STE 100
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City | KIRKLAND
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State | WA
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Zip | 98034-7208
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Country | US
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Telephone | 425-899-4500
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Fax |
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Provider Business Mailing Address
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Address Line | 16704 235TH AVE SE
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City | ISSAQUAH
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State | WA
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Zip | 98027-8449
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Country | US
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Telephone | 206-351-8917
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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 | AP70106350
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License Number State | WA
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