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General NPI Number Information
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NPI Number | 1760340558
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Entity Type | Individual
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Provider Name | CANDIS FESSER NP
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Gender | Female
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Dates
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Enumeration Date | 01/12/2026
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Last Update Date | 01/12/2026
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Provider Practice Location Address
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Address Line | 19435 68TH AVE S STE S102
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City | KENT
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State | WA
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Zip | 98032-2114
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Country | US
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Telephone | 253-414-1983
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Fax |
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Provider Business Mailing Address
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Address Line | 18812 COLWOOD AVE NE
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City | POULSBO
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State | WA
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Zip | 98370-4555
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Country | US
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Telephone | 716-413-1715
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | AP70082572
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License Number State | WA
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