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General NPI Number Information
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NPI Number | 1972148732
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Entity Type | Individual
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Provider Name | BEATRICE WANGARI KIAMA PMHNP
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Gender | Female
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Dates
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Enumeration Date | 11/15/2019
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Last Update Date | 06/22/2022
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Provider Practice Location Address
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Address Line | 31405 18TH AVE S
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City | FEDERAL WAY
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State | WA
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Zip | 98003-5433
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Country | US
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Telephone | 253-681-6640
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Fax | 253-681-6632
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Provider Business Mailing Address
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Address Line | 1311 139TH ST E
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City | TACOMA
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State | WA
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Zip | 98445-2622
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN60651370
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | AP61200088
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License Number State | WA
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