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General NPI Number Information
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NPI Number | 1821566753
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Entity Type | Individual
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Provider Name | GINA NEWMAN ARNP
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Gender | Female
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Dates
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Enumeration Date | 11/08/2018
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Last Update Date | 11/21/2022
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Provider Practice Location Address
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Address Line | 3633 136TH PLACE SE SUITE #110
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City | BELLEVUE
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State | WA
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Zip | 98006
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Country | US
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Telephone | 425-747-7202
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Fax | 425-643-0635
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Provider Business Mailing Address
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Address Line | 6310 139TH PL SE
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City | BELLEVUE
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State | WA
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Zip | 98006-4812
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Country | US
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Telephone |
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | AP61113083
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | AP61113083
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License Number State | WA
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