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General NPI Number Information
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NPI Number | 1134045453
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Entity Type | Organization
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Legal Business Name | ADVANCED HEALTHY OPTIONS PLLC
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Dates
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Enumeration Date | 06/29/2026
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Last Update Date | 06/29/2026
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Provider Practice Location Address
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Address Line | 3909 CREEKSIDE LOOP
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City | YAKIMA
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State | WA
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Zip | 98902-4880
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Country | US
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Telephone | 509-223-9112
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Fax |
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Provider Business Mailing Address
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Address Line | 4811 SNOWMOUNTAIN RD
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City | YAKIMA
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State | WA
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Zip | 98908-2848
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LISA BENTON
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Credential | ARNP-C
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Telephone | 253-307-5651
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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