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General NPI Number Information
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NPI Number | 1982426409
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Entity Type | Individual
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Provider Name | MUHAMMED L BARROW LPN
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Gender | Male
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Dates
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Enumeration Date | 10/28/2024
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Last Update Date | 10/29/2024
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Provider Practice Location Address
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Address Line | 1640 148TH AVE SE
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City | BELLEVUE
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State | WA
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Zip | 98007-6825
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Country | US
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Telephone | 425-373-1161
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Fax | 425-373-1662
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Provider Business Mailing Address
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Address Line | 1525 111TH DR SE
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City | LAKE STEVENS
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State | WA
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Zip | 98258-8247
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Country | US
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Telephone | 206-714-1311
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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 | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | LP60258259
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License Number State | WA
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