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General NPI Number Information
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NPI Number | 1801577101
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Entity Type | Individual
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Provider Name | MIKE MAI ARNP, DNP
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Gender | Male
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Dates
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Enumeration Date | 07/28/2023
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Last Update Date | 10/06/2026
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Provider Practice Location Address
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Address Line | 24360 VAN RY BLVD STE 111
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City | MOUNTLAKE TERRACE
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State | WA
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Zip | 98043-5457
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Country | US
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Telephone | 425-275-5550
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 50095
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City | SEATTLE
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State | WA
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Zip | 98145-5095
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Country | US
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Telephone | 206-520-5700
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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 | RN.RN.60740186
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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 | ARNP.AP.70133491-NP
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License Number State | WA
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