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General NPI Number Information
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NPI Number | 1922672047
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Entity Type | Individual
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Provider Name | BRANDON DUKOVIC DNP
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Gender | Male
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Dates
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Enumeration Date | 05/13/2021
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Last Update Date | 08/04/2025
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Provider Practice Location Address
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Address Line | 123 NW 36TH ST STE 210
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City | SEATTLE
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State | WA
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Zip | 98107-4959
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Country | US
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Telephone | 425-640-7009
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Fax | 425-640-9600
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Provider Business Mailing Address
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Address Line | 307 W OLYMPIC PL APT 206
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City | SEATTLE
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State | WA
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Zip | 98119-3766
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Country | US
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Telephone | 650-815-9271
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | AP61174432
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License Number State | WA
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