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General NPI Number Information
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NPI Number | 1720501596
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Entity Type | Individual
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Provider Name | KATHERINE CERONSKY ARNP
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Gender | Female
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Dates
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Enumeration Date | 07/24/2017
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Last Update Date | 11/23/2021
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Provider Practice Location Address
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Address Line | 720 8TH AVE S
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City | SEATTLE
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State | WA
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Zip | 98104-3032
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Country | US
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Telephone | 206-788-3700
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Fax |
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Provider Business Mailing Address
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Address Line | 6127 35TH AVE S
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City | SEATTLE
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State | WA
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Zip | 98118-3177
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Country | US
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Telephone | 651-707-4993
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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 | AP60781194
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License Number State | WA
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