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General NPI Number Information
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NPI Number | 1134677578
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Entity Type | Individual
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Provider Name | HILAIRE JANE THOMPSON ARNP, PHD
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Gender | Female
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Dates
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Enumeration Date | 09/14/2016
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Last Update Date | 12/16/2016
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Provider Practice Location Address
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Address Line | 1145 BROADWAY
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City | SEATTLE
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State | WA
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Zip | 98122-4201
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Country | US
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Telephone | 206-860-5141
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Fax |
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Provider Business Mailing Address
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Address Line | 904 7TH AVE THE POLYCLINIC MADISON CENTER NEPHROLOGY
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City | SEATTLE
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State | WA
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Zip | 98104
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Country | US
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Telephone | 206-860-5575
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Fax | 206-860-5450
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | UP06768M
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | AP60314065
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License Number State | WA
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