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General NPI Number Information
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NPI Number | 1801007943
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Entity Type | Individual
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Provider Name | JANE F SODERBERG ARNP, PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 05/24/2007
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Last Update Date | 10/29/2024
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Provider Practice Location Address
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Address Line | 1380 112TH AVE NE STE 101
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City | BELLEVUE
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State | WA
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Zip | 98004-3759
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Country | US
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Telephone | 206-818-3716
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Fax | 425-898-4325
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Provider Business Mailing Address
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Address Line | 2331 E BEAVER LAKE DR SE
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City | SAMMAMISH
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State | WA
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Zip | 98075-7926
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Country | US
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Telephone | 206-818-3716
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Fax | 425-898-4325
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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 | 163WP0809X
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Taxonomy Name | Adult Psychiatric/Mental Health Registered Nurse
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License Number | AP30006347
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License Number State | WA
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