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NPI 1134363997

NPI 1134363997 : DIANA L SCHOFIELD ARNP : TACOMA, WA

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General NPI Number Information
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    NPI Number           |    1134363997
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    Entity Type          |    Individual 
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    Provider Name        |    DIANA L SCHOFIELD ARNP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    04/23/2009
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    Last Update Date     |    02/10/2020
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Provider Practice Location Address
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    Address Line         |    9040 JACKSON AVENUE 
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    City                 |    TACOMA
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    State                |    WA
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    Zip                  |    98431-9576
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    Country              |    US
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    Telephone            |    925-381-7507
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    820 N CHELAN AVE 
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    City                 |    WENATCHEE
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    State                |    WA
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    Zip                  |    98801-2028
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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    |    
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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        |    363L00000X
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    Taxonomy Name        |    Nurse Practitioner
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    License Number       |    RN00133615
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    License Number State |    WA
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