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General NPI Number Information
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NPI Number | 1952365967
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Entity Type | Individual
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Provider Name | SUSAN HYDE BRYAR ARNP
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Gender | Female
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Dates
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Enumeration Date | 04/14/2006
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Last Update Date | 04/15/2010
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Provider Practice Location Address
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Address Line | 1800 116TH AVE NE SUITE 201
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City | BELLEVUE
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State | WA
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Zip | 98004-3043
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Country | US
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Telephone | 425-454-3366
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Fax | 425-640-5954
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Provider Business Mailing Address
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Address Line | 1800 116TH AVE NE SUITE 201
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City | BELLEVUE
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State | WA
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Zip | 98004-3043
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Country | US
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Telephone | 425-454-3366
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Fax | 425-640-5954
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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 | 363LP1700X
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Taxonomy Name | Perinatal Nurse Practitioner
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License Number | A030006797
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | AP300006797
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License Number State | WA
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