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General NPI Number Information
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NPI Number | 1861304321
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Entity Type | Individual
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Provider Name | SUZANA TRIFUNOVIC RN
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Gender | Female
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Dates
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Enumeration Date | 09/21/2026
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Last Update Date | 09/21/2026
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Provider Practice Location Address
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Address Line | 1200 112TH AVE NE BUILDING C, SUITE 115
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City | VELLEVUE
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State | WA
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Zip | 98004
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Country | US
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Telephone | 425-455-0244
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Fax | 425-455-0244
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Provider Business Mailing Address
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Address Line | 13305 NE 171ST ST APT G245
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City | WOODINVILLE
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State | WA
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Zip | 98072-6918
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Country | US
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Telephone | 425-455-0244
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Fax | 425-455-9411
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 61294704
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License Number State | WA
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