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General NPI Number Information
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NPI Number | 1700957347
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Entity Type | Individual
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Provider Name | DIANE RENEE EDWARDS ARNP
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Gender | Female
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Dates
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Enumeration Date | 11/13/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 500 5TH AVE 6W
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City | SEATTLE
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State | WA
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Zip | 98104-2332
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Country | US
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Telephone | 206-296-1091
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Fax |
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Provider Business Mailing Address
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Address Line | 8929 131ST AVE SE
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City | SNOHOMISH
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State | WA
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Zip | 98290-9061
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Country | US
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Telephone | 360-563-9007
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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 | AP30000718
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License Number State | WA
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