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General NPI Number Information
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NPI Number | 1881143758
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Entity Type | Individual
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Provider Name | ELIZABETH MACK RN, ARNP-C
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Gender | Female
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Dates
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Enumeration Date | 10/03/2016
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Last Update Date | 12/18/2025
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Provider Practice Location Address
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Address Line | 3410 CLAREMONT AVE S
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City | SEATTLE
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State | WA
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Zip | 98144-6815
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Country | US
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Telephone | 206-725-0747
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Fax | 206-299-1814
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Provider Business Mailing Address
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Address Line | PO BOX 18612
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City | SEATTLE
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State | WA
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Zip | 98118-0612
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Country | US
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Telephone | 206-725-0747
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Fax | 206-299-1814
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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 | RN60562783
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | AP60691184
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License Number State | WA
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