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General NPI Number Information
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NPI Number | 1922212547
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Entity Type | Individual
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Provider Name | DIANA MARIE FERDANA APNP; EAMP
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Gender | Female
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Dates
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Enumeration Date | 05/10/2007
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Last Update Date | 11/20/2025
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Provider Practice Location Address
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Address Line | 904 7TH AVE
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City | SEATTLE
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State | WA
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Zip | 98104-1132
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Country | US
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Telephone | 206-329-1760
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Fax | 206-860-5466
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Provider Business Mailing Address
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Address Line | PO BOX 5127
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City | EVERETT
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State | WA
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Zip | 98206-5127
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Country | US
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Telephone | 206-329-1760
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | AP60321260
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | AC00002121
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License Number State | WA
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