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NPI 1801782198

NPI 1801782198 : ADORN YOUR HEALTH : SAMMAMISH, WA

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General NPI Number Information
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    NPI Number           |    1801782198
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    Entity Type          |    Organization 
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    Legal Business Name  |    ADORN YOUR HEALTH 
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Dates
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    Enumeration Date     |    06/14/2025
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    Last Update Date     |    06/22/2025
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Provider Practice Location Address
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    Address Line         |    24944 SE 43RD ST UNIT 2 
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    City                 |    SAMMAMISH
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    State                |    WA
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    Zip                  |    98029-5824
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    Country              |    US
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    Telephone            |    708-654-0321
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    24944 SE 43RD ST 
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    City                 |    SAMMAMISH
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    State                |    WA
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    Zip                  |    98029-5824
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    Country              |    US
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    Telephone            |    708-654-0321
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    Fax                  |    
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Authorized Official
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    Title or Position    |    FAMILY NURSE PRACTITIONER
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    Name                 |     JESSICA T JOHNSON 
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    Credential           |    ARNP, FNP-BC
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    Telephone            |    708-654-0321
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    363LF0000X
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    Taxonomy Name        |    Family Nurse Practitioner
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    License Number       |    
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    License Number State |    
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