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NPI 1982185781

NPI 1982185781 : SARITA BHATTA : EVERETT, WA

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General NPI Number Information
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    NPI Number           |    1982185781
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    Entity Type          |    Individual 
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    Provider Name        |    SARITA BHATTA
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/28/2018
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    Last Update Date     |    08/01/2024
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Provider Practice Location Address
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    Address Line         |    3901 HOYT AVE 
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    City                 |    EVERETT
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    State                |    WA
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    Zip                  |    98201-4918
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    Country              |    US
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    Telephone            |    425-339-5411
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    132 HOWE ST APT A 
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    City                 |    NATICK
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    State                |    MA
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    Zip                  |    01760-3027
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    Country              |    US
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    Telephone            |    214-862-1561
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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        |    363L00000X
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    Taxonomy Name        |    Nurse Practitioner
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    License Number       |    60989896
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    License Number State |    WA
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