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General NPI Number Information
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NPI Number | 1033741012
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Entity Type | Individual
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Provider Name | ANDREA SKIPWORTH ARNP
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Gender | Female
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Dates
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Enumeration Date | 02/07/2020
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Last Update Date | 09/02/2022
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Provider Practice Location Address
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Address Line | 1812 S MILDRED ST STE H
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City | TACOMA
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State | WA
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Zip | 98465-1634
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Country | US
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Telephone | 253-301-5270
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Fax |
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Provider Business Mailing Address
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Address Line | 10238 194TH ST E APT R102
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City | GRAHAM
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State | WA
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Zip | 98338-7972
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Country | US
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Telephone | 706-897-5541
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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 | 163WM0102X
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Taxonomy Name | Maternal Newborn Registered Nurse
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License Number | RN60626360
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License Number State | WA
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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 | AP61344052
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License Number State | WA
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