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General NPI Number Information
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NPI Number | 1043176936
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Entity Type | Organization
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Legal Business Name | AIP, LLC
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Dates
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Enumeration Date | 01/05/2026
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Last Update Date | 01/05/2026
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Provider Practice Location Address
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Address Line | 5520 BRIDGEPORT WAY W
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City | UNIVERSITY PLACE
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State | WA
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Zip | 98467-2041
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Country | US
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Telephone | 253-566-7166
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Fax |
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Provider Business Mailing Address
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Address Line | 23920 229TH PL SE
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City | MAPLE VALLEY
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State | WA
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Zip | 98038-5051
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Country | US
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Telephone | 206-830-8729
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Fax | 567-209-5877
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Authorized Official
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Title or Position | BUSINESS OWNER
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Name | MRS. ALYSSA IWAI POGHEN
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Credential | NP
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Telephone | 206-830-8729
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number |
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License Number State |
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