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General NPI Number Information
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NPI Number | 1033101209
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Entity Type | Individual
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Provider Name | DEBRA K MACDONALD ARNP
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Gender | Female
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Dates
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Enumeration Date | 08/16/2005
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Last Update Date | 12/12/2022
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Provider Practice Location Address
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Address Line | 1360 N LOUISIANA ST # A737
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City | KENNEWICK
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State | WA
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Zip | 99336-7171
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Country | US
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Telephone | 509-628-1958
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Fax | 509-628-1959
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Provider Business Mailing Address
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Address Line | 1033 COUNTRY CT
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City | RICHLAND
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State | WA
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Zip | 99352-9500
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Country | US
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Telephone | 509-628-1363
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Fax | 509-628-2207
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 200550106NP
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP30006509
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License Number State | WA
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