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General NPI Number Information
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NPI Number | 1730563198
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Entity Type | Individual
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Provider Name | MUSETTA CHANG-CHI FU ARNP
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Gender | Female
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Dates
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Enumeration Date | 07/16/2015
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Last Update Date | 04/15/2025
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Provider Practice Location Address
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Address Line | 18205 ALDERWOOD MALL PKWY # 802
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City | LYNNWOOD
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State | WA
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Zip | 98037-3913
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Country | US
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Telephone | 452-758-8685
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Fax |
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Provider Business Mailing Address
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Address Line | 8427 226TH ST SW
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City | EDMONDS
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State | WA
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Zip | 98026-8270
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Country | US
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Telephone |
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | AP60582058
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License Number State | WA
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