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General NPI Number Information
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NPI Number | 1861913832
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Entity Type | Individual
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Provider Name | UBAH GAANI NP
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Gender | Female
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Dates
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Enumeration Date | 06/29/2017
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Last Update Date | 10/21/2024
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Provider Practice Location Address
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Address Line | 4219 S OTHELLO ST STE 105F
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City | SEATTLE
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State | WA
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Zip | 98118-3892
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Country | US
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Telephone | 206-910-0667
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Fax | 206-535-1039
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Provider Business Mailing Address
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Address Line | 4219 S OTHELLO ST STE 105F
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City | SEATTLE
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State | WA
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Zip | 98118-3892
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Country | US
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Telephone | 206-910-0667
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Fax | 206-535-1039
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN.CNP.020605
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP61204954
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License Number State | WA
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