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General NPI Number Information
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NPI Number | 1851724223
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Entity Type | Individual
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Provider Name | DANIELLE PAIGE WALDRON ARNP
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Gender | Female
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Dates
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Enumeration Date | 08/20/2013
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Last Update Date | 01/11/2025
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Provider Practice Location Address
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Address Line | 19109 36TH AVE W STE 209
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City | LYNNWOOD
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State | WA
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Zip | 98036-5767
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Country | US
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Telephone | 206-399-1006
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Fax |
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Provider Business Mailing Address
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Address Line | 218 168TH ST SE
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City | BOTHELL
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State | WA
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Zip | 98012-5959
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Country | US
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Telephone | 206-399-1006
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | AP60406247
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License Number State | WA
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