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General NPI Number Information
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NPI Number | 1942580568
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Entity Type | Individual
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Provider Name | KATHLEEN FRANCES PHELAN ARNP
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Gender | Female
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Dates
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Enumeration Date | 08/26/2011
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Last Update Date | 05/19/2022
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Provider Practice Location Address
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Address Line | 400 DEXTER AVE N STE 1200
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City | SEATTLE
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State | WA
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Zip | 98109-5094
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Country | US
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Telephone | 206-880-2345
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Fax |
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Provider Business Mailing Address
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Address Line | 430 E 29TH ST FL 14
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City | NEW YORK
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State | NY
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Zip | 10016-8367
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Country | US
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Telephone |
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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 | AP 60280901
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License Number State | WA
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