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General NPI Number Information
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NPI Number | 1780915363
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Entity Type | Organization
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Legal Business Name | DIANE HUTCHESON ARNP
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Dates
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Enumeration Date | 01/21/2010
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Last Update Date | 04/21/2010
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Provider Practice Location Address
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Address Line | 6959 CALIFORNIA AVE SW
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City | SEATTLE
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State | WA
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Zip | 98136-1953
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Country | US
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Telephone | 206-841-2126
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Fax | 206-932-4856
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Provider Business Mailing Address
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Address Line | 126 SW 148TH ST STE C 100-334
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City | BURIEN
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State | WA
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Zip | 98166-1984
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Country | US
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Telephone | 206-841-2126
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Fax | 206-932-4856
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Authorized Official
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Title or Position | OWNER
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Name | MS. DIANE GRACE HUTCHESON
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Credential | ARNP
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Telephone | 206-841-2126
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | AP30004654
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License Number State | WA
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