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General NPI Number Information
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NPI Number | 1225475791
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Entity Type | Individual
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Provider Name | ANNE WILLINGHAM RN, BSN
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Gender | Female
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Dates
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Enumeration Date | 05/23/2013
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Last Update Date | 05/23/2013
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Provider Practice Location Address
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Address Line | 1112 S CUSHMAN AVE
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City | TACOMA
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State | WA
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Zip | 98405-3631
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Country | US
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Telephone | 253-280-9833
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Fax |
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Provider Business Mailing Address
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Address Line | 1112 S CUSHMAN AVE
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City | TACOMA
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State | WA
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Zip | 98405-3631
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN 00116212
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 163WC1500X
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Taxonomy Name | Community Health Registered Nurse
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License Number | RN 00116212
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 163WM0102X
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Taxonomy Name | Maternal Newborn Registered Nurse
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License Number | RN 00116212
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License Number State | WA
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