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NPI 1699131458

NPI 1699131458 : MELISSA LE : EVERETT, WA

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General NPI Number Information
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    NPI Number           |    1699131458
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    Entity Type          |    Individual 
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    Provider Name        |    MELISSA LE
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    01/11/2016
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    Last Update Date     |    07/25/2025
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Provider Practice Location Address
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    Address Line         |    1330 ROCKEFELLER AVE STE 310 
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    City                 |    EVERETT
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    State                |    WA
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    Zip                  |    98201-1677
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    Country              |    US
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    Telephone            |    425-316-5490
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 31001 4114 
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    City                 |    PASADENA
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    State                |    CA
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    Zip                  |    91110-4114
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    Country              |    US
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    Telephone            |    866-747-2455
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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        |    163W00000X
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    Taxonomy Name        |    Registered Nurse
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    License Number       |    838791
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    License Number State |    TX
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Taxonomy #2
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    Taxonomy Code        |    363LA2200X
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    Taxonomy Name        |    Adult Health Nurse Practitioner
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    License Number       |    AP70001024
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    License Number State |    WA
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Taxonomy #3
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    Taxonomy Code        |    363LG0600X
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    Taxonomy Name        |    Gerontology Nurse Practitioner
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    License Number       |    AP70001024
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    License Number State |    WA
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Taxonomy #4
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    Taxonomy Code        |    363LA2100X
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    Taxonomy Name        |    Acute Care Nurse Practitioner
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    License Number       |    AP70001024
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    License Number State |    WA
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