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General NPI Number Information
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NPI Number | 1003727504
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Entity Type | Individual
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Provider Name | LORI ANN KETTER RN
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Gender | Female
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Dates
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Enumeration Date | 09/14/2026
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Last Update Date | 09/14/2026
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Provider Practice Location Address
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Address Line | 1 E MAIN ST STE 370
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City | AUBURN
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State | WA
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Zip | 98002-4905
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Country | US
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Telephone | 253-545-5800
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Fax | 253-833-9944
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Provider Business Mailing Address
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Address Line | 1 E MAIN ST STE 370
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City | AUBURN
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State | WA
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Zip | 98002-4905
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Country | US
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Telephone | 253-545-5800
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Fax | 253-833-9944
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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 | 163WW0101X
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Taxonomy Name | Ambulatory Women's Health Care Registered Nurse
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License Number | RN60061216
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License Number State | WA
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