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General NPI Number Information
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NPI Number | 1912814468
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Entity Type | Organization
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Legal Business Name | UDOKA ADDY PSYCHIATRY PLLC
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Dates
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Enumeration Date | 08/27/2026
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Last Update Date | 09/05/2026
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Provider Practice Location Address
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Address Line | 2226 EASTLAKE AVE E
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City | SEATTLE
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State | WA
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Zip | 98102-3419
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Country | US
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Telephone | 509-356-2424
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Fax |
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Provider Business Mailing Address
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Address Line | 100 N HOWARD ST # 6553
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City | SPOKANE
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State | WA
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Zip | 99201-0508
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Country | US
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Telephone | 509-356-2424
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | UDOKA ADDY
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Credential | RN, PMHNP-BC
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Telephone | 509-356-2424
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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 |
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License Number State | NULL
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