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General NPI Number Information
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NPI Number | 1174900237
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Entity Type | Individual
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Provider Name | HUGO DE OLIVEIRA ARNP
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Gender | Male
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Dates
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Enumeration Date | 04/28/2015
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Last Update Date | 10/21/2020
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Provider Practice Location Address
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Address Line | 424 WILLIAMS ST
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City | MOSSYROCK
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State | WA
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Zip | 98564-9001
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Country | US
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Telephone | 360-983-3589
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Fax | 360-925-3180
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Provider Business Mailing Address
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Address Line | PO BOX 326
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City | MOSSYROCK
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State | WA
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Zip | 98564-0326
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Country | US
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Telephone | 360-983-3589
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Fax | 360-925-3180
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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 | AP60543520
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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 | AP60543520
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | AP60543520
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License Number State | WA
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