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General NPI Number Information
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NPI Number | 1144873969
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Entity Type | Individual
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Provider Name | LOAN VAN ARNP
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Gender | Female
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Dates
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Enumeration Date | 07/21/2019
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Last Update Date | 02/13/2025
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Provider Practice Location Address
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Address Line | 2930 S MERIDIAN STE 200
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City | PUYALLUP
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State | WA
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Zip | 98373-1654
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Country | US
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Telephone | 253-445-7600
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Fax |
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Provider Business Mailing Address
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Address Line | 2652 83RD AVENUE CT E
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City | EDGEWOOD
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State | WA
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Zip | 98371-5588
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Country | US
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Telephone | 808-457-5441
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP60985721
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License Number State | WA
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