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General NPI Number Information
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NPI Number | 1730895327
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Entity Type | Individual
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Provider Name | OSAYANDE ALFRED-IYAMU NP
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Gender | Male
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Dates
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Enumeration Date | 01/26/2023
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Last Update Date | 06/05/2025
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Provider Practice Location Address
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Address Line | 101 ELLIOTT AVE W
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City | SEATTLE
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State | WA
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Zip | 98119-4236
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Country | US
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Telephone | 425-678-6463
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Fax |
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Provider Business Mailing Address
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Address Line | 3838 D PL SE APT 1
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City | AUBURN
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State | WA
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Zip | 98002-8696
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Country | US
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Telephone | 469-450-7164
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Fax | 214-975-2617
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | AP61680532
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 773088
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License Number State | TX
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