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General NPI Number Information
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NPI Number | 1295236867
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Entity Type | Individual
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Provider Name | ROZETTE CASENE HENRYALVAREZ LPN
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Gender | Female
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Dates
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Enumeration Date | 02/28/2018
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Last Update Date | 02/28/2018
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Provider Practice Location Address
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Address Line | 2403 JONES AVE S
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City | RENTON
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State | WA
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Zip | 98055-4304
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Country | US
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Telephone | 206-290-7006
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Fax |
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Provider Business Mailing Address
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Address Line | 2602 WESTRIDGE AVE W APT Y201
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City | TACOMA
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State | WA
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Zip | 98466-1892
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Country | US
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Telephone | 253-882-4401
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Fax | 866-360-5916
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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 | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | LP00057880
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License Number State | WA
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