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General NPI Number Information
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NPI Number | 1104823699
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Entity Type | Individual
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Provider Name | DEBBIE C. ANDERSON ARNP
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Gender | Female
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Dates
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Enumeration Date | 06/30/2005
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Last Update Date | 11/14/2007
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Provider Practice Location Address
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Address Line | 748 14TH AVE
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City | LONGVIEW
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State | WA
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Zip | 98632-2315
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Country | US
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Telephone | 360-501-3601
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Fax | 360-501-3648
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Provider Business Mailing Address
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Address Line | PO BOX 249
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City | LONGVIEW
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State | WA
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Zip | 98632-7154
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Country | US
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Telephone | 360-414-2000
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN00119013
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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 | AP30005930
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License Number State | WA
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