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General NPI Number Information
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NPI Number | 1922244854
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Entity Type | Individual
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Provider Name | NANCY COLOBONG SMITH MN, ARNP, CNN
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Gender | Female
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Dates
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Enumeration Date | 12/24/2008
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Last Update Date | 12/24/2008
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Provider Practice Location Address
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Address Line | 1959 NE PACIFIC ST UNIT 4SE, BOX 356086
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City | SEATTLE
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State | WA
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Zip | 98195-0001
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Country | US
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Telephone | 206-598-4442
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Fax |
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Provider Business Mailing Address
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Address Line | 5139 26TH AVE NE
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City | SEATTLE
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State | WA
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Zip | 98105-3101
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Country | US
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Telephone | 206-598-4442
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | AP60040463
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License Number State | WA
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