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General NPI Number Information
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NPI Number | 1801300538
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Entity Type | Individual
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Provider Name | AMY L STEVENSON ARNP
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Gender | Female
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Dates
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Enumeration Date | 11/16/2017
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Last Update Date | 11/30/2023
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Provider Practice Location Address
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Address Line | 720 8TH AVE S
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City | SEATTLE
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State | WA
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Zip | 98104-3032
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Country | US
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Telephone | 206-788-3700
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Fax |
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Provider Business Mailing Address
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Address Line | 720 8TH AVE S
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City | SEATTLE
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State | WA
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Zip | 98104-3032
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Country | US
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Telephone | 206-788-3700
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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 | AP60807289
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | F10170838
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 60669698
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License Number State | WA
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