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General NPI Number Information
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NPI Number | 1841955127
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Entity Type | Individual
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Provider Name | MARIAH NEY ARNP
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Gender | Female
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Dates
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Enumeration Date | 11/02/2021
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Last Update Date | 12/11/2024
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Provider Practice Location Address
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Address Line | 17275 SOUTHCENTER PKWY STE 160
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City | TUKWILA
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State | WA
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Zip | 98188-3336
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Country | US
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Telephone | 206-430-7555
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Fax |
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Provider Business Mailing Address
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Address Line | 5505 S 149TH ST
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City | TUKWILA
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State | WA
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Zip | 98168-4556
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | AP61231139
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License Number State | WA
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