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General NPI Number Information
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NPI Number | 1730285412
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Entity Type | Individual
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Provider Name | MIRIAM ABIGAIL JAFFEE ARNP
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Gender | Female
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Dates
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Enumeration Date | 09/16/2006
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Last Update Date | 05/19/2021
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Provider Practice Location Address
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Address Line | 12303 NE 130TH LN SUITE 225
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City | KIRKLAND
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State | WA
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Zip | 98034-3099
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Country | US
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Telephone | 425-899-3890
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Fax | 425-899-3889
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Provider Business Mailing Address
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Address Line | PO BOX 34036
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City | SEATTLE
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State | WA
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Zip | 98124-1036
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Country | US
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Telephone | 425-899-3292
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Fax | 425-899-3269
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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 | AP30006872
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License Number State | WA
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