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General NPI Number Information
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NPI Number | 1184133225
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Entity Type | Individual
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Provider Name | DARREN PARIS RN
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Gender | Female
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Dates
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Enumeration Date | 09/20/2017
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Last Update Date | 09/20/2017
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Provider Practice Location Address
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Address Line | MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE. ATTN: MCHJ-CLQ-C
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City | TACOMA
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State | WA
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Zip | 98431
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Country | US
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Telephone | 253-968-3869
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Fax |
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Provider Business Mailing Address
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Address Line | 10446A LONGMIRE RD
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City | JOINT BASE LEWIS MCCHORD
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State | WA
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Zip | 98433-1357
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Country | US
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Telephone | 720-369-4277
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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 | 163WM0705X
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Taxonomy Name | Medical-Surgical Registered Nurse
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License Number | RN60675192
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License Number State | WA
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