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General NPI Number Information
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NPI Number | 1255204053
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Entity Type | Individual
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Provider Name | STEFFANEE HUNTER-THACKER
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Gender | Female
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Dates
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Enumeration Date | 09/26/2025
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Last Update Date | 09/26/2025
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Provider Practice Location Address
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Address Line | 1910 BLACK LAKE BLVD SW
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City | OLYMPIA
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State | WA
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Zip | 98512-5651
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Country | US
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Telephone | 360-706-8771
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Fax | 360-252-8855
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Provider Business Mailing Address
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Address Line | 8611 SKOKOMISH WAY NE
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City | OLYMPIA
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State | WA
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Zip | 98516-5828
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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 | 174N00000X
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Taxonomy Name | Lactation Consultant (Non-RN)
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License Number | 25031667
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License Number State | WA
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