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General NPI Number Information
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NPI Number | 1104770916
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Entity Type | Individual
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Provider Name | BRIANNE LEIGH SMITH
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Gender | Female
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Dates
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Enumeration Date | 02/26/2026
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Last Update Date | 09/17/2026
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Provider Practice Location Address
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Address Line | 3228 170TH AVE E
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City | LAKE TAPPS
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State | WA
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Zip | 98391-5530
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Country | US
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Telephone | 865-250-8092
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Fax |
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Provider Business Mailing Address
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Address Line | 3228 170TH AVE E
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City | LAKE TAPPS
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State | WA
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Zip | 98391-5530
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Country | US
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Telephone | 865-250-8092
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | ARNP.AP.70184428-NP
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN60554385
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License Number State | WA
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