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General NPI Number Information
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NPI Number | 1053864652
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Entity Type | Individual
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Provider Name | JULIE ANN CUNNINGHAM ARNP
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Gender | Female
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Dates
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Enumeration Date | 07/29/2016
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Last Update Date | 05/11/2019
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Provider Practice Location Address
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Address Line | 1901 S CEDAR ST STE 108
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City | TACOMA
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State | WA
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Zip | 98405-2302
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Country | US
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Telephone | 253-212-0078
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Fax | 253-212-3877
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Provider Business Mailing Address
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Address Line | 10811 222ND AVENUE CT E
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City | BUCKLEY
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State | WA
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Zip | 98321-9486
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Country | US
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Telephone | 253-307-9874
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP60821011
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License Number State | WA
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